Medicare Advantage Special Needs

Conference Papers

Two background papers written by health policy researchers and commissioned by The Commonwealth Fund helped provide a framework for discussing the topics at hand. The first paper provided a primer on SNPs for dual eligibles. It described the role of SNPs in the Medicare Advantage (MA) program, and the reason these entities were authorized by Congress to serve distinct subpopulations of Medicare beneficiaries, with a special focus on dual eligible SNPs. The second paper provided a snapshot of the enrollment and participation levels in SNPs, and described the opportunities and challenges presented by this new type of specialty health plan.

The Center commissioned a third background paper to present issues encountered by beneficiaries who enrolled in SNPs, either voluntarily or through actions authorized by CMS. The paper, written from the perspective of an attorney for older people and people with disabilities, outlined specific problems raised by SNP enrollment and provided examples from Pennsylvania SNP enrollees.

The three papers are provided below in Portable Document Format (PDF).

Charles J. Milligan, Jr. & Cynthia H. Woodcock, "Medicare Advantage Special Needs Plans for Dual Eligibles: A Primer."

Charles J. Milligan, Jr. & Cynthia H. Woodcock, "Coordinating Medicare and Medicaid Services for Dual Eligibles: Different Models that Link State Medicaid Programs with Medicare Advantage Special Needs Plans."

Alissa E. Halperin, "The Medicare Advantage Special Needs Plan Experience: Beneficiary Perspective from Pennsylvania."


Conference Home The Center for Medicare Advocacy's Recommendations Conference Narrative Conference Agenda Conference Papers Background Materials Conference Presentation Slides Conference Participants Conference Steering Committee About the Center for Medicare Advocacy Conference Sponsor	Conference Papers Two background papers written by health policy researchers and commissioned by The Commonwealth Fund helped provide a framework for discussing the topics at hand. The first paper provided a primer on SNPs for dual eligibles. It described the role of SNPs in the Medicare Advantage (MA) program, and the reason these entities were authorized by Congress to serve distinct subpopulations of Medicare beneficiaries, with a special focus on dual eligible SNPs. The second paper provided a snapshot of the enrollment and participation levels in SNPs, and described the opportunities and challenges presented by this new type of specialty health plan. The Center commissioned a third background paper to present issues encountered by beneficiaries who enrolled in SNPs, either voluntarily or through actions authorized by CMS. The paper, written from the perspective of an attorney for older people and people with disabilities, outlined specific problems raised by SNP enrollment and provided examples from Pennsylvania SNP enrollees. The three papers are provided below in Portable Document Format (PDF). Charles J. Milligan, Jr. & Cynthia H. Woodcock, "Medicare Advantage Special Needs Plans for Dual Eligibles: A Primer." Charles J. Milligan, Jr. & Cynthia H. Woodcock, "Coordinating Medicare and Medicaid Services for Dual Eligibles: Different Models that Link State Medicaid Programs with Medicare Advantage Special Needs Plans." Alissa E. Halperin, "The Medicare Advantage Special Needs Plan Experience: Beneficiary Perspective from Pennsylvania."
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