Correlation Engine 2.0
Clear Search sequence regions


  • humans (1)
  • medicaid (6)
  • plans (4)
  • special (1)
  • Sizes of these terms reflect their relevance to your search.

    To coordinate Medicare and Medicaid benefits, multiple states are creating opportunities for dual-eligible beneficiaries to join Medicare Advantage Dual-Eligible Special Needs Plans (D-SNPs) and Medicaid plans operated by the same insurer. Tennessee implemented this approach by requiring insurers who offered Medicaid plans to also offer a D-SNP by 2015. Tennessee's aligned D-SNP participation increased from 7% to 24% of dual-eligible beneficiaries aged 65 years and above between 2011 and 2017. Within a county, a 10-percentage-point increase in aligned D-SNP participation was associated with 0.3 fewer inpatient admissions (p = .048), 13.9 fewer prescription drugs per month (p = .048), and 0.3 fewer nursing home users (p = .06) per 100 dual-eligible beneficiaries aged 65 years and older. Increased aligned plan participation was associated with 0.2 more inpatient admissions (p = .004) per 100 dual-eligible beneficiaries younger than 65 years. For some dual-eligible beneficiaries, increasing Medicare and Medicaid managed plan alignment has the potential to promote more efficient service use.

    Citation

    Laura M Keohane, Zilu Zhou, David G Stevenson. Aligning Medicaid and Medicare Advantage Managed Care Plans for Dual-Eligible Beneficiaries. Medical care research and review : MCRR. 2022 Apr;79(2):207-217

    Expand section icon Mesh Tags

    Expand section icon Substances


    PMID: 34075825

    View Full Text