Recently released data for Medicare Advantage (MA) shows continued expansion of dual eligible special needs plans (D-SNPs), which are MA plans that only enroll beneficiaries who are dually eligible and enrolled in both Medicare and Medicaid. This white paper discusses the following:

• The D-SNP market continues its high growth rate
• D-SNP enrollment and plan offerings are concentrated in a few national Medicare Advantage Organizations (MAOs)
• D-SNPs continue to offer significant supplemental benefits
• The average star rating for D-SNPs fell again for calendar-year 2024
• D-SNP integration requirements are met through coordination not integration
• Regulatory changes will shape the market