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October 8, 2025Health AffairsOpen Access

Favorable Selection Among Dually Enrolled Beneficiaries In Private Medicare Plans

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Authors

DPDaria PelechRDRu DingJGJing Guo

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Overview

Analysis shows favorable selection affects spending in dual enrollees for private medicare plans, highlighting disparities.

Key Points

  • Favorable selection significantly impacts dual enrollees' choice of private medicare plans and spending.
  • A 1 percent increase in medical spending decreased the likelihood of dual enrollees enrolling in private plans by 1 percentage point.
  • The analysis utilized linked medicaid-medicare claims data from 2017 to 2022 to assess spending patterns.
  • Finding highlights the importance of considering health status when evaluating outcomes in private medicare plans.

Cite This Study

Pelech et al. (2025) studied this question.

synapsesocial.com/papers/68e6679587ecc93a24d1749ehttps://doi.org/10.1377/hlthaff.2025.00330
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