Integrating Medicare and Medicaid for Dual Eligibles with Disabilities: Evaluating the Impact on Utilization, Quality, Mortality, and Chronic Diseases Management
About This Grant
PROJECT SUMMARY Over 50% of the 12.8 million low-income individuals who are dually eligible for Medicare and Medicaid (“dual eligibles”) qualify for Medicare because of disability. This varied population experiences physical, intellectual, developmental, cognitive, or mental disabilities that substantially limit major life activities. People with disabilities die 10-20 years earlier than those without disability, and much of this premature mortality is preventable. Dual eligibles with disabilities have high prevalence of multiple chronic medical (e.g., diabetes) and behavioral health (e.g., depression) conditions and high need for long-term services and supports (LTSS) for daily activities. Medicare and Medicaid have been poorly integrated to serve dual eligibles, leading to conflicting financial incentives, fragmented care delivery, and complicated administrative processes. Together, these issues drive high healthcare spending and poor health outcomes, including 40-60% avoidable premature mortality, among dual eligibles with disabilities. Integrated SNPs) or for with dual eligible special needs lans (integrated D- are a type of Medicare Advantage (MA) plan that contracts with state Medicaid agencies to cover some all Medicaid services coordinate Medicare and Medicaid benefits and streamline administrative processes dual eligibles. These plans aim to better align financial incentives toward “whole person” care consistent clinical guidelines and to provide comprehensive care management for chronic conditions. p , , Integrated D- SNP enrollment among dual eligibles with disabilities grew 12-fold between 2018 and 2024. Despite rapid growth, there is little evidence on the impact and implementation of integrated D-SNPs overall and none for dual eligibles with disabilities. This study aims to fill this gap using novel linked data capturing the entirety of Medicare and Medicaid services for 100% of dual eligibles with disabilities from 2018-2027. We will use a concurrent-embedded mixed-methods design integrating a quantitative trial emulation approach with difference-in-differences (Aim 1) and survival (Aim 2) analyses with qualitative study of integrated D-SNP implementation (Aim 3). Aims 1-2 will assess how integrated D-SNP enrollment influences care utilization, quality indicators, and chronic diseases management (Aim 1) and mortality (Aim 2) among dual eligibles with disabilities. Aim 3 will characterize integrated D-SNP implementation for dual eligibles with disabilities with the goal of identifying promising practices and areas for improvement. This project is well aligned with the NIH Strategic Plan for Disability Health Research FY26-FY30 and NIA's priority of promoting adherence to medical and behavioral regimens for healthy and adaptive aging in later life.
Grant Summary
Integrating Medicare and Medicaid for Dual Eligibles with Disabilities: Evaluating the Impact on Utilization, Quality, Mortality, and Chronic Diseases Management is a NIA - National Institute on Aging grant providing up to $721K for university, nonprofit, healthcare org. Applications are due 2031-03-31 (open). Check eligibility and apply with FindGrants.
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Focus Areas
Eligibility
How to Apply
Up to $721K
2031-03-31
- 1Confirm your organization is eligible for Integrating Medicare and Medicaid for Dual Eligibles with Disabilities: Evaluating the Impact on Utilization, Quality, Mortality, and Chronic Diseases Management from NIA - National Institute on Aging, checking organization type, location, and any population or project requirements.
- 2Gather the required documents and information, including your organization details, project plan, and budget figures.
- 3Draft your application narrative and budget addressing the funder's priorities and review criteria. FindGrants can draft each section for you to review and edit.
- 4Review every section against the requirements checklist, then export a submission-ready application pack and submit it to NIA - National Institute on Aging before the deadline.
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Integrating Medicare and Medicaid for Dual Eligibles with Disabilities: Evaluating the Impact on Utilization, Quality, Mortality, and Chronic Diseases Management: Frequently Asked Questions
Who is eligible for the Integrating Medicare and Medicaid for Dual Eligibles with Disabilities: Evaluating the Impact on Utilization, Quality, Mortality, and Chronic Diseases Management?
Integrating Medicare and Medicaid for Dual Eligibles with Disabilities: Evaluating the Impact on Utilization, Quality, Mortality, and Chronic Diseases Management is offered by NIA - National Institute on Aging and is generally open to university, nonprofit, healthcare org. It is open to organizations nationwide unless the funder specifies otherwise. Review the specific eligibility terms before applying, since funders set their own requirements around organization type, location, and the population or project being served.
How much funding does the Integrating Medicare and Medicaid for Dual Eligibles with Disabilities: Evaluating the Impact on Utilization, Quality, Mortality, and Chronic Diseases Management provide?
Integrating Medicare and Medicaid for Dual Eligibles with Disabilities: Evaluating the Impact on Utilization, Quality, Mortality, and Chronic Diseases Management provides up to $721K per award from NIA - National Institute on Aging. Actual award sizes depend on the scope of your project, available program funds, and the number of applicants, so build a budget that reflects realistic, allowable costs rather than the maximum figure.
When is the Integrating Medicare and Medicaid for Dual Eligibles with Disabilities: Evaluating the Impact on Utilization, Quality, Mortality, and Chronic Diseases Management deadline?
Applications for Integrating Medicare and Medicaid for Dual Eligibles with Disabilities: Evaluating the Impact on Utilization, Quality, Mortality, and Chronic Diseases Management are due 2031-03-31 (open). Because deadlines can change, verify the date with the funder, NIA - National Institute on Aging, and give yourself enough time to prepare a complete, competitive application before the close date.
How do you apply for the Integrating Medicare and Medicaid for Dual Eligibles with Disabilities: Evaluating the Impact on Utilization, Quality, Mortality, and Chronic Diseases Management?
To apply for Integrating Medicare and Medicaid for Dual Eligibles with Disabilities: Evaluating the Impact on Utilization, Quality, Mortality, and Chronic Diseases Management, confirm your eligibility, gather the required documents, and prepare a narrative and budget that address the funder's priorities. FindGrants guides you step by step and can draft each section, then exports a submission-ready application pack for this grant from NIA - National Institute on Aging.