About 3 million dually eligible beneficiaries are enrolled in Medicare Advantage dual eligible special needs plans (D-SNPs), which are present in 43 states. Most D-SNPs only meet the basic requirements to coordinate care, providing minimal integration. This presentation focused on factors influencing state decisions to integrate care. To better understand those factors and how the federal government could support states, MACPAC convened a roundtable with selected states and key stakeholders.
This presentation included themes from the roundtable and a preview of policy options based on those themes. Commissioner feedback will guide staff development of policy options for discussion at an upcoming meeting. Selected options may be included in the June 2022 report to Congress.