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
. 2025 Jul 1;8(7):e2523973.
doi: 10.1001/jamanetworkopen.2025.23973.

Disenrollment From Special Needs and Other Medicare Advantage Plans Among Nursing Home Residents

Hyunkyung Yun  1 , Momotazur Rahman  1 , Brian McGarry  2 , Elizabeth M White  1 , David J Meyers  1 , Cyrus M Kosar  1
Affiliations

Disenrollment From Special Needs and Other Medicare Advantage Plans Among Nursing Home Residents

Hyunkyung Yun et al. JAMA Netw Open. .
No abstract available

Plain language summary

This cohort study analyzes variations in Medicare plan disenrollment among long-stay nursing home residents from 2010 to 2022.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest Disclosures: Dr McGarry reported receiving grants from the Foundation for Post-Acute and Long-Term Care Medicine outside the submitted work. Dr White reported receiving grants from the National Institute on Aging outside the submitted work. Dr Meyers reported personal fees from Oak Ridge Associated Universities as a paid senior advisor to the Center for Medicare and Medicaid Innovation outside the submitted work. No other disclosures were reported.

Figures

Figure.
Figure.. Risk-Adjusted Annual Medicare Plan Disenrollment Rates Among Long-Stay Nursing Home Residents, 2010-2021
In panel A, disenrollment was defined as either a traditional Medicare (TM) enrollee switching to Medicare Advantage (MA) or an MA enrollee of any plan type switching to TM in January of the following year. In panel B, disenrollment was defined as either a TM enrollee switching to MA or an MA enrollee of any plan type switching to TM or different type of MA in January of the following year. Risk-adjusted annual disenrollment rates were calculated using year-specific linear probability models that controlled for residents’ clinical and demographic characteristics, facility characteristics, and state fixed effects. D-SNP indicates dual eligible special needs plan; I-SNP, institutional special needs plan.
See this image and copyright information in PMC

References

    1. Roberts ET, Chen X, Macneal E, Werner RM. Dual-eligible nursing home residents: enrollment growth in managed care plans that coordinate care, 2013-20. Health Aff (Millwood). 2024;43(9):1296-1305. doi: 10.1377/hlthaff.2023.01579 - DOI - PMC - PubMed
    1. Meyers DJ, Ryan AM, Trivedi AN. Trends in cumulative disenrollment in the Medicare advantage program, 2011-2020. JAMA Health Forum. 2023;4(8):e232717. doi: 10.1001/jamahealthforum.2023.2717 - DOI - PMC - PubMed
    1. Roberts ET, Mellor JM. Differences in care between special needs plans and other Medicare coverage for dual eligibles. Health Aff (Millwood). 2022;41(9):1238-1247. doi: 10.1377/hlthaff.2022.00463 - DOI - PMC - PubMed
    1. James HO, Trivedi AN, Meyers DJ. Medicare Advantage enrollment and disenrollment among persons with Alzheimer disease and related dementias. JAMA Health Forum. 2023;4(9):e233080. doi: 10.1001/jamahealthforum.2023.3080 - DOI - PMC - PubMed
    1. McGarry BE, Grabowski DC. Managed care for long-stay nursing home residents: an evaluation of institutional special needs plans. Am J Manag Care. 2019;25(9):438-443. - PubMed