The Different Kind of D-SNPs And Why They Impact Services

CarePayments #116 - The Different Kind of D-SNPs And Why They Impact Services

Dual Eligible Special Needs Plans - D-SNPs are specifically for individuals who are "dually eligible" for both Medicare and Medicaid.

In this episode of The CarePayments Pod, Fady and Mandy SaHhar break down the critical role of Dual-Eligible Special Needs Plans (D-SNPs) in streamlining care for individuals navigating both Medicare and Medicaid. By examining the "continuum of integration," the hosts contrast Fully Integrated (FIDE) plans—which offer a seamless, "holy grail" experience by managing all medical and social services under one roof—with Coordination-Only models that prioritize consumer choice and provider flexibility. Ultimately, the discussion highlights the fundamental trade-off in healthcare advocacy.  While more integrated plans provide superior coordination and simplified billing, they often restrict provider networks, requiring beneficiaries to balance the convenience of a unified system against the freedom to choose their own specialists.

Welcome to The CarePayments Podcast - A quick-hitting informative discussion about healthcare payment models and how they affect MCOs, Providers, Payers, and Care Recipients with your host Fady Sahhar of XtraGlobex. Dual-eligible programs serve a critical role in the healthcare system, providing integrated care for millions of individuals who qualify for both Medicare and Medicaid. 

You can find more information on Dual-Eligibles at www.dualeligiblehq.com

The Value-Based Payments Blog is available for free at www.vbpblog.com

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