Agent Survival Guide Podcast A 2026 D-SNP Market Snapshot ft. Lincoln Lafayette & Anthony Budhar
Jul 26, 2025
Joined by Anthony Budhar, Senior Manager of Sales at Ritter Insurance Marketing, and Lincoln Lafayette, they dive into the upcoming changes to Dual Special Needs Plans (D-SNPs) in 2026. The duo discusses how new CMS regulations will create both challenges and opportunities for agents, particularly in the Midwest. They emphasize the need for agents to adapt their strategies and explore the growing potential in the D-SNP market, highlighting the significance of coordinated plans and the importance of staying informed as the competitive landscape evolves.
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CMS 2027 Integration Mandate
- CMS mandates by 2027 all dual eligible SNPs must have the same carrier managing Medicare and Medicaid benefits.
- This integration aims to simplify care coordination and reduce costs for the government and states.
Impact of Cutting Lookalike Plans
- Reducing D-SNP lookalike plans widens benefit gaps between partial duals and full duals.
- This likely strengthens the value proposition of full Medicaid D-SNPs.
Midwest D-SNP Market Growth
- Illinois, Ohio, and Michigan lead major D-SNP market changes in 2026 with numerous dual eligibles gaining access.
- This presents a massive growth opportunity for agents in these states.