Radar on Medicare Advantage

Despite Promise of Fully Integrated Plans, Research Finds Gaps in MA Access for Duals

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    May 01, 2025

    Some of the most vulnerable seniors served by Medicare Advantage — Medicare-Medicaid dual eligibles — may face significant barriers to accessing integrated care plans, according to a study published April 18 in JAMA Network Open. The research, led by teams from Brown University and the University of Pennsylvania, analyzed data from the Medicare Health Outcomes Survey (HOS) collected between 2017 and 2019 and identified about 148,000 full-benefit dual eligible beneficiaries. The study aimed to compare health and demographic characteristics of beneficiaries across four distinct MA plan types with varying levels of integration for duals.

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    • Carina Belles

    Carina has been covering public-sector health care since 2018. As a data reporter for Radar on Medicare Advantage, she creates infographics and data stories on issues impacting Medicare, Medicaid and Part D. She also develops AIS Health Daily, a free daily newsletter that showcases AIS’s strong reporting across our four publications and parent company Norstella’s suite of market access and data solutions. Prior to joining the editorial team, she managed Medicare and Medicaid data for the Directory of Health Plans, AIS’s industry-standard health coverage database. She graduated from Ohio University with a B.S. in Journalism.

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Reporter, Radar on Medicare Advantage and Spotlight on Market Access

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Reporter, Health Plan Weekly and Radar on Drug Benefits

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