This article uses 2005 and 2008 Medicaid Analytic eXtract (MAX) data to present spending and enrollment trends for adults with disabilities who are dually eligible for Medicare and Medicaid. Nationwide, the proportion of adult duals in managed care increased from 2005 to 2008, with the expansion...

Examines the erosion of choice and benefits through 2001, including changes in penetration rates for individual states and changes in choice among urban and rural areas.