For insurers that remain committed to their Medicare Advantage businesses, special needs plans have been a major growth driver. KFF estimated that almost half of MA enrollment growth from 2024 to 2025 stemmed from these tailored plans. In 2025, SNPs covered 21% of MA enrollees.
Chronic condition, dual-eligible and institutional SNPs address members who have specific long-lasting health issues, also qualify for Medicaid or require an institutional level of care (through a long-term facility or at home), respectively. Every SNP must follow a CMS model of care framework approved by the National Committee for Quality Assurance.
Becker’s…
