by Carina Belles
Nearly 3 million Medicare-Medicaid dual eligibles are enrolled in managed care plans designed to serve the duals population, a 13% boost from May 2018, according to the latest update to AIS’s Directory of Health Plans. The market penetration of Dual Eligible Special Needs Plans (D-SNPs) in particular has grown as payers make heavier investments in Medicare Advantage in general, but some states are also pioneering their own duals coordination initiatives in partnership with CMS (Medicare-Medicaid Plans, or duals demonstrations). The 10 largest duals sponsors have a firm grip on the market, enrolling 2.16 million people (about 73% of all managed duals lives) with UnitedHealthcare alone holding 31.3% of the national market share. See a full breakdown of the current duals landscape plus the top 10 duals sponsors with their enrollment changes from 2018 below.
NOTE: AIS’s dual eligibles data reflect current enrollment in Dual Eligible Special Needs Plans (D-SNPs), Fully Integrated Dual Eligible Special Needs Plans (FIDE-SNPs), Medicare-Medicaid Plans (MMPs,) or duals demonstration plans, and the Program of All-Inclusive Care for the Elderly (PACE).
SOURCE: CMS, AIS’s Directory of Health Plans (DHP). Visit https://aishealthdata.com/dhp for more information.