Comparing Medicare Advantage and Traditional Medicare for people with both Medicare and Medicaid
Official title: Medicare Advantage versus Traditional Medicare for Dual Eligible Beneficiaries
Funded at Massachusetts General Hospital · NIH-11145699 · Data updated 2026-11-12
This study looks at how people who qualify for both Medicare and Medicaid get their healthcare, comparing those who choose Medicare Advantage plans to those who stick with Traditional Medicare, to find out what works best for their needs.
Quick facts
| Grant type | R01 grant |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Massachusetts General Hospital NIH-funded |
| Lab location | 1 site (Boston, United States) |
| Project start | August 1, 2024 |
| Project end | May 31, 2029 |
| Funding year | 2025 |
| Award (this year) | $399,060 |
| NIH project number | 5R01HS029664-02 |
| Project ID | NIH-11145699 on NIH RePORTER |
Who could benefit from this research
✓Could help
Ideal candidates for this research are individuals who are dual-eligible for both Medicare and Medicaid, particularly those with complex clinical and social needs.
✕Less likely to help
Patients who are not dual-eligible or those who do not utilize Medicare or Medicaid services may not receive any benefit from this research.
What this research studies
This research investigates how dual-eligible beneficiaries, who qualify for both Medicare and Medicaid, experience healthcare under Medicare Advantage plans compared to Traditional Medicare. The study will analyze enrollment patterns and the factors influencing beneficiaries' choices between these two options. It will also assess the differences in healthcare utilization and outcomes, focusing on long-term services and supports as well as behavioral health services. By understanding these dynamics, the research aims to identify ways to better meet the complex needs of dual-eligible individuals.
Why it matters
Potential benefit: If successful, this research could lead to improved healthcare delivery and outcomes for dual-eligible beneficiaries by informing better integration of Medicare and Medicaid services.
How similar studies have gone: Previous research has shown that integrating Medicare and Medicaid services can improve care for dual-eligible beneficiaries, suggesting that this approach may yield valuable insights.
Where this research is happening
-
Massachusetts General Hospital
Boston, United States Active
Researchers
- Principal investigator: Fung, Vicki — Massachusetts General Hospital
- Study coordinator: Fung, Vicki
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page.