Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2009 Jan-Feb;28(1):136-46.
doi: 10.1377/hlthaff.28.1.136.

Special Needs Plans and the coordination of benefits and services for dual eligibles

David C Grabowski  1
Affiliations

Special Needs Plans and the coordination of benefits and services for dual eligibles

David C Grabowski. Health Aff (Millwood). 2009 Jan-Feb.

Erratum in

Abstract

Special Needs Plans (SNPs) are a new type of Medicare Advantage (MA) plan with the potential to coordinate Medicare and Medicaid benefits and services for dually eligible beneficiaries. However, experience to date suggests that SNPs have not greatly expanded the number of people enrolled in joint Medicare-Medicaid products. SNPs need to have some contractual relationship with state Medicaid plans to add value for dually eligible beneficiaries beyond traditional MA plans. Although SNP enrollment is higher in states with such a relationship than in other states, several steps are identified to further expand this market and improve coordination between SNPs and state Medicaid programs.

PubMed Disclaimer

References

    1. Kaiser Commission on Medicaid and the Uninsured, Dual Eligibles: Medicaid's Role for Low-Income Medicare Beneficiaries. Washington, DC: The Henry J. Kaiser Family Foundation; 2004.

    1. Although dual eligibles are sicker and costlier on average than other Medicare beneficiaries, they are a heterogeneous group with respect to their degree of chronic illness. Medicare Payment Advisory Commission, Report to the Congress: Medicare Payment Policy. Washington, DC: Medicare Payment Advisory Commission; 2004.

    1. Haber SG, Mitchell JB. Access to Physicians' Services for Vulnerable Medicare Beneficiaries. Inquiry. 1999;36(no 4):445–460. - PubMed
    1. Merrell K, Colby DC, Hogan C. Medicare Beneficiaries Covered by Medicaid Buy-in Agreements. Health Affairs (Millwood) 1997;16(no 1):175–184. - PubMed
    1. Komisar HL, Feder J, Kasper JD. Unmet Long-Term Care Needs: An Analysis of Medicare-Medicaid Dual Eligibles. Inquiry. 2005;42(no 2):171–182. - PubMed

Publication types

MeSH terms