U.S. Enrollment and Spending for Dual-Eligible Individuals
Full & partial benefit status, average Medicare/Medicaid spending, & share of Medicare/Medicaid spending & enrollment
Summary of Spending and Enrollment Indicators
Distribution of Dual-Eligible Individuals by Full and Partial Benefit Status, 2025
Estimates include dual-eligible individuals in January. Totals may not equal 100% due to data suppression and rounding.
Average Medicare and Medicaid Spending per Dual-Eligible Individual by Benefit Status (in $), 2021
N/A indicates data are not available. New Jersey T-MSIS data exclude nearly all dual-eligible individuals with partial Medicaid benefits and the spending associated with those people. Medicaid spending data for Mississippi and West Virginia are from 2020 due to data quality issues in 2021.
See Medicare Spending Per Dual-Eligible Individual in Traditional Medicare and Medicaid Spending Per Dual-Eligible Individual for more details.
Dual-Eligible Individuals as a Share of Medicare and Medicaid Spending and Enrollment, 2021
Medicare estimates include beneficiaries in traditional Medicare only, since spending data for beneficiaries enrolled in Medicare Advantage plans are unavailable. Medicaid spending data for Mississippi and West Virginia are from 2020 due to data quality issues in 2021. Totals may not equal 100% due to data suppression and rounding.
See Medicare Spending for Dual-Eligible Individuals in Traditional Medicare As a Share of Total Traditional Medicare Spending, Dual-Eligible Individuals as a Share of Medicaid Enrollment, and Medicaid Spending for Dual-Eligible Individuals As A Share of Total Medicaid Spending for more details.
This work was supported in part by Arnold Ventures. KFF maintains full editorial control over all of its policy analysis, polling, and journalism activities.