Effect of C-SNP Enrollment on Outcomes for Beneficiaries with Diabetes
Medicare beneficiaries with diabetes enrolled in chronic condition special needs plans (C-SNPs) experience better outcomes across several domains of care — primary care, inpatient use, and diabetes management — than they would in nonspecialized Medicare Advantage (MA) plans.
SNPs are a type of MA plan that focus on, and limit enrollment to, certain Medicare beneficiaries, including those who are institutionalized, dually eligible for Medicare and Medicaid, or have specific chronic conditions. C-SNPs enroll approximately 15 percent of all SNP members.
Research shows that enrollment in a C-SNP can have positive effects. However, research comparing C-SNPs to other MA plans is limited. This analysis compares outcomes for beneficiaries with diabetes who are enrolled in diabetes C-SNPs with those enrolled in non-SNP MA plans. It finds an additional positive impact on clinical outcomes and care use attributable to C-SNP enrollment.
Related Public Policy Research
C-SNPs: Tailored Benefits Improve Patient Outcomes
Enrollees in Elevance Health-affiliated C-SNPs indicate that they highly value the tailored benefits, interconnected care, robust communication, and out-of-pocket savings provided by their plans.
Understanding the Medicare Advantage Program
MA plans provide enrollees a valuable alternative to FFS by offering out-of-pocket cost protections, additional benefits, and innovative strategies for care management and coordination.
Please wait while loading...