Improving care for individuals with both Medicare and Medicaid coverage
Official title: Integrating Medicare and Medicaid coverage in managed care: effects on quality, utilization, and disparities
Funded at University of Pennsylvania · NIH-10932121 · Data updated 2026-11-12
This study is looking at ways to improve healthcare for people who are eligible for both Medicare and Medicaid, focusing on special plans that help coordinate their care, to see how better integration can lead to improved health and fewer treatment gaps.
Quick facts
| Grant type | R01 grant |
|---|---|
| Study type | NIH-funded research |
| Funding institution | University of Pennsylvania NIH-funded |
| Lab location | 1 site (Philadelphia, United States) |
| Project start | September 30, 2023 |
| Project end | July 31, 2028 |
| Funding year | 2024 |
| Award (this year) | $337,194 |
| NIH project number | 5R01HS029453-02 |
| Project ID | NIH-10932121 on NIH RePORTER |
Who could benefit from this research
✓Could help
Ideal candidates for this research are individuals who are dual-eligible for Medicare and Medicaid.
✕Less likely to help
Patients who are not eligible for either Medicare or Medicaid will not benefit from this research.
What this research studies
This research investigates how to better integrate Medicare and Medicaid coverage for individuals who qualify for both programs, known as dual-eligibles. It focuses on Dual-Eligible Special Needs Plans (D-SNPs), which are designed to coordinate care for these patients. The study will analyze how different levels of integration among D-SNPs impact the quality of care, healthcare utilization, and disparities in treatment. By examining policy changes, such as automatic enrollment into these plans, the research aims to identify effective strategies for improving patient outcomes.
Why it matters
Potential benefit: If successful, this research could lead to improved healthcare quality and reduced disparities for individuals with both Medicare and Medicaid.
How similar studies have gone: While there is limited evidence on the effectiveness of D-SNPs, similar integration efforts in healthcare have shown promise in improving patient outcomes.
Where this research is happening
-
University of Pennsylvania
Philadelphia, United States Active
Researchers
- Principal investigator: Roberts, Eric T — University of Pennsylvania
- Study coordinator: Roberts, Eric T
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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.