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An Investigation of Medicare Advantage Dual Eligible Member Level Performance

October 28, 2014

This study was conducted by the Inovalon research division in collaboration with multiple industry partners, including Cigna-Healthspring, Wellcare, Healthfirst, Gateway Health, Blue Cross Blue Shield Minnesota and Blue Plus, Health Care Services Corporation (HCSC), the Special Needs Plan (SNP) Alliance, and Medicaid Health Plans of America (MHPA). 

The objective of this investigation is to better understand the factors underlying poor performance of dual eligible members served by Medicare Advantage (MA) plans enumerated in a 2013 study conducted by Inovalon.

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