[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-427133-105":59,"doc-detail-427133-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","medicare-medicaid-dual-eligible-special-needs-plan-enrollment-in-maryland","MEDICARE-MEDICAID DUAL ELIGIBLE SPECIAL NEEDS PLAN ENROLLMENT IN MARYLAND","","Medicare-Medicaid dual eligible beneficiaries incur higher health care spending than non-duals across both programs. Integrating care through dual eligible special needs plans (D-SNPs) within Medicare Advantage has shown mixed effects on care coordination and cost reduction. This retrospective cohort study analyzes sociodemographic and geographic factors associated with 2021 D-SNP enrollment among duals in Maryland, using descriptive statistics by program type and logistic regression. Among 109,646 duals, 9% enrolled in D-SNPs; results show regional, neighborhood disadvantage, age, and racial/ethnic disparities in enrollment selection versus Traditional Medicare.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/medicare-medicaid-dual-eligible-special-needs-plan-enrollment-in-maryland/427133/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/medicare-medicaid-dual-eligible-special-needs-plan-enrollment-in-maryland/427133.png","ImageObject",300,407,{"name":92,"@type":93},"moss~","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the study’s focus regarding Medicare-Medicaid duals in Maryland?","Question",{"text":112,"@type":113},"The study examines sociodemographic and geographic factors associated with 2021 D-SNP enrollment among Medicare-Medicaid dual eligible beneficiaries in Maryland.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What proportion of duals were enrolled in D-SNPs in 2021?",{"text":117,"@type":113},"Among 109,646 duals, 9% were enrolled in D-SNPs, and 60% were 65 years or older.",{"name":119,"@type":110,"acceptedAnswer":120},"Which groups showed different likelihoods of choosing D-SNPs versus Traditional Medicare?",{"text":121,"@type":113},"Baltimore City enrollees and residents in neighborhoods with the highest disadvantage were more likely to select D-SNPs. Full duals were less likely than partial duals, older beneficiaries were more likely than younger, and Black and Latino duals were more likely than White duals.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},427133,1790804854,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24},962090895452,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","1006 Innovation in Aging, 2025, Vol. 9, No. S2  \nAbstract citation ID: igaf122.3393  \nMEDICARE-MEDICAID DUAL ELIGIBLE SPECIAL NEEDS PLAN ENROLLMENT IN MARYLAND  \nChristine Gill, Roberto Millar, and Christin Diehl, University of Maryland, Baltimore County, Baltimore, Maryland, United States  \nNationally, health care spending for Medicare-Medicaid dualsis higher than for non-duals in either program. Programs integrating care across these separate programs—one type being dual eligible special needs plans (D-SNPs), a Medicare Advantage (MA) plan—produce mixed results on improving care coordination and reducing costs. This retrospective cohort study examined sociodemographic and geographic factors associated with 2021 D-SNP enrollment among duals in Maryland—a state with low MA enrollment. We report descriptive statistics by Medicare program type (D-SNP or Traditional Medicare [TM]) and logistic regression analyses. Among 109,646 duals, 9% were enrolled in D-SNPs, and 60% were 65 years or older. We found regional differences: Baltimore City enrollees were 1.6 (95% confidence interval (CI) 1.5-1.7) times more likely than those in Central Maryland to select D-SNPs compared with TM, and neighborhoods with the highest quintile of disadvantage had  \n1.4 (95% CI: 1.3-1.5) times the likelihood of selecting D-SNPs compared with TM. Full duals were less likely to select D-SNPs over TM compared with partial duals (0.8 [95% CI: 0.7-0.8]); those 65 years and older were more likely compared with younger (1 .6 [95% CI: 1.5-1.7]); and Black (2 .2 [95% CI: 2.1-2.3]) and  \nInnovation in Aging, 2025, Vol. 9, No. S2 1007  \nLatino (1.6 [95% CI: 1.4-1.8]) were more likely compared with White duals. Given that racial and ethnic minorities and those from more disadvantaged neighborhoods are enrolled in D-SNPs disproportionately in Maryland, additional research should be conducted to examine whether health outcomes and care quality are equitable across programs to inform policy integrating care for this high-needs population.","cbCaidA6Syy9GmxY","https://ap.wps.com/l/cbCaidA6Syy9GmxY","pdf",51886,"English","# Abstract overview\n## Study design and data\n## Enrollment patterns and statistical findings\n## Implications for policy and equity","[{\"question\":\"What is the study’s focus regarding Medicare-Medicaid duals in Maryland?\",\"answer\":\"The study examines sociodemographic and geographic factors associated with 2021 D-SNP enrollment among Medicare-Medicaid dual eligible beneficiaries in Maryland.\"},{\"question\":\"What proportion of duals were enrolled in D-SNPs in 2021?\",\"answer\":\"Among 109,646 duals, 9% were enrolled in D-SNPs, and 60% were 65 years or older.\"},{\"question\":\"Which groups showed different likelihoods of choosing D-SNPs versus Traditional Medicare?\",\"answer\":\"Baltimore City enrollees and residents in neighborhoods with the highest disadvantage were more likely to select D-SNPs. Full duals were less likely than partial duals, older beneficiaries were more likely than younger, and Black and Latino duals were more likely than White duals.\"}]","MEDICARE-MEDICAID DUAL ELIGIBLE SPECIAL NEEDS PLAN ENROLLMENT IN MARYLAND | PDF",1790642939]