What question did this study set out to answer?

This research aims to understand the impact of dual enrollment on Medicaid spending for Medicare premiums.

State Medicaid Programs Face Increased Spending On Medicare Premiums

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Randomized trial examines rising Medicaid costs for Medicare premiums in low-income seniors, suggesting urgent need for federal action.

This research aims to understand the impact of dual enrollment on Medicaid spending for Medicare premiums.
Utilized administrative data to analyze changes from 2013 to 2024.
Characterized trends in the number of dually enrolled beneficiaries and associated Medicaid spending.
Estimated contributions of per beneficiary premium costs and enrollment changes to total spending increases.
The number of dually enrolled beneficiaries increased by 27%.
Medicaid spending on Medicare premiums nearly doubled, largely due to growing Part B premium costs.
Approximately half of the increase in Part B spending is linked to rising per beneficiary premium costs.

Fernandez et al. (2026) studied this question.

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