Managed Care
ACAP Proposes Five Dual SNP Demonstration Programs to Improve Care Coordination
The Association for Community Affiliated Plans released a report proposing five demonstration programs to leverage Dual Eligible Special Needs Plans (D-SNPs) for improved care coordination. The proposals target Medicare beneficiaries enrolled in D-SNPs, which serve individuals eligible for both Medicare and Medicaid. The report comes as CMS and states continue to pursue integrated care models for dually eligible populations. The proposals matter for Medicaid managed care organizations operating D-SNPs or seeking to expand dual-eligible programs, as they outline potential policy pathways for enhanced integration and coordination between Medicare and Medicaid benefits.
Why it mattersThese proposals could shape future CMS demonstration authority affecting how Medicaid MCOs structure and operate D-SNP products, potentially influencing contract requirements, care coordination standards, and integration between Medicare and Medicaid services.