Enrollment in Integrated Special Needs Plans Among Dually Eligible Beneficiaries With Serious Mental Illness - Takeaways - MDSpire

Enrollment in Integrated Special Needs Plans Among Dually Eligible Beneficiaries With Serious Mental Illness

  • By

  • Emma E. McGinty

  • Gail L. Daumit

  • Manyao Zhang

  • Yongkang Zhang

  • June 1, 2026

  • 0 min

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  • 1

    Approximately 30% of the 13.6 million dually eligible beneficiaries in the US have serious mental illnesses (SMIs).

  • 2

    Dually eligible beneficiaries face barriers due to fragmentation between Medicare and Medicaid, complicating access to necessary services.

  • 3

    Integrated dual-eligible special needs plans (D-SNPs) aim to coordinate Medicare and Medicaid benefits for beneficiaries with SMI.

  • 4

    The study analyzed enrollment patterns in various Medicare options among dually eligible beneficiaries with SMI from 2019 to 2022.

  • 5

    Policy efforts are focused on expanding financially integrated models like HIDE-SNPs and FIDE-SNPs to improve care for dually eligible beneficiaries.

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