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CMS may start cracking down on dual-eligible ‘look-alike’ plans
Modern Healthcare

As the federal government sets about promoting more integrated care for patients eligible for both Medicare and Medicaid, it is also considering cracking down on a type of health plan that could complicate that goal.

These plans, referred to as dual-eligible special needs (D-SNP) plan “look-alikes,” are designed and marketed to attract dual-eligible patients, who may enroll thinking they will receive integrated Medicare and Medicaid benefits and extra care coordination.