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Page count: 53

Beneficiaries dually enrolled in Medicare and Medicaid are less likely to receive high-quality care and less likely to be enrolled in plans that perform well in the Medicare Advantage (MA) Star Rating program than those who are not dually enrolled. However, some plans with a high proportion of beneficiaries dually enrolled in Medicare and Medicaid appear to perform well in the Star Rating program. These findings suggest that some plans have identified effective ways to meet the needs of their dually enrolled beneficiaries. As part of a qualitative study on the types of services MA plans implement and the types of resources they use to meet the needs of dually enrolled and other high-cost, high-need beneficiaries, the authors conducted an environmental scan of the literature and key informant interviews, with the goal of developing a typology of the services that MA plans implement. The findings can be used to develop a series of case studies of high- and low-performing MA plans to further explore this topic.