Early evidence indicates that dual eligible special needs plans (D-SNPs) offer states a flexible path to better integrate care and improve health outcomes for individuals who are eligible for both Medicare and Medicaid benefits (dual eligibles).
Dual eligibles have limited economic resources and they are more likely to have complex health conditions, yet they must navigate two fragmented benefit programs. As states seek ways to improve integration and coordination of care for dual eligibles, D-SNPs can be a valuable partner. D-SNPs improve the beneficiary experience through a more seamless combination of benefits and enhancements in coordinating and managing care. They also offer simplifications for providers serving dual eligibles and opportunities to better integrate long-term services and supports.
This paper describes the benefits D-SNPs offer and highlights opportunities for successful state partnerships with D-SNPs to advance states’ efforts to improve dual eligibles’ outcomes.
- States’ efforts to integrate care
- Challenges faced by dual eligibles
- D-SNP options for integration
- Value of D-SNPs
- Successful state partnerships with D-SNPs