Where should duals-focused sales teams and community partnerships deploy?

Q: Where should duals-focused sales teams and community partnerships deploy?

Texas has 185K duals without a D-SNP available, the largest deployment gap of 30 tracked states. Where duals density and product gaps intersect, ranked for sales deployment. Duals selling is ground-game selling: community health workers, county agencies, food banks, churches, and brokers who work the same zip codes year round. The deployment logic is uncovered duals first, because members with no D-SNP available today are won by whoever shows up with the first product and a familiar face. And because duals hold a recurring SEP, these teams produce enrollment every month, not just during AEP.

Data through 2025 Q4 · Updated March 15, 2026 static extract

Texas alone has roughly 185K dual-eligible people with no D-SNP available, the largest deployment gap among 30 tracked states. Because duals hold a recurring SEP, this population is sellable every month of the year: the question is where to put the teams.

185K

Largest uncovered-duals pool (TX)

24.8%

Highest duals density (MS)

Tracked states without FIDE infrastructure

Unless noted, figures are 2025 Q4.

Deployment priority: duals without a D-SNP available (top 12)

Uncovered duals = state duals × (100% − D-SNP coverage). Simple arithmetic on the CMS-sourced extract, computed at build; the coverage definition is in the provenance panel.

Full deployment table: tracked states

These figures have been withdrawn. This D-SNP deployment ranking was built from a 76-county extract that a 2026-08-24 audit found was not reproducible from any CMS file — denominators were wrong by up to 995×, one county carried the wrong FIPS code, and the year-by-year history was smooth in a way observed data is not. Rather than restate numbers we cannot source, they have been removed. Dual-eligible counts by county are in the dual density view, and SNP enrollment by plan is on the SNP page. Read the audit.

Where duals-led growth is already underway: tracked counties

Counties with a D-SNP share of MA at 20% or higher and positive velocity: the ground game is already converting duals here, so entry means displacing, not pioneering.

These figures have been withdrawn. This ranking was built from a 76-county extract that a 2026-08-24 audit found was not reproducible from any CMS file. Rather than restate numbers we cannot source, they have been removed. Health plan share, momentum and dual-eligible counts for all 3,199 counties are in the county explorer. Read the audit.

County coverage was a 76-county set that has since been withdrawn; all 3,199 counties are now in the county explorer. The product-strategy view of the same intersection lives on dual-eligible density.

What should I do next?

Score the opportunity3,199 counties ranked on headroom and momentum Build the AEP target listWhere to point the field Open my workspaceSaved markets, analyses and alerts Work the county listFilter and rank all 3,199 counties

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Citation: MedicareInsights. “Where should duals-focused sales teams and community partnerships deploy?.” CMS Medicare-Medicaid dual enrollment data (MMCO quarterly), data through 2025 Q4. https://medicareinsights.org/sales/dsnp-deployment/.

So what / Now what Interpretation

Duals selling is ground-game selling: community health workers, county agencies, food banks, churches, and brokers who work the same zip codes year round. The deployment logic is uncovered duals first, because members with no D-SNP available today are won by whoever shows up with the first product and a familiar face. And because duals hold a recurring SEP, these teams produce enrollment every month, not just during AEP.

Deploy field teams in rank order of the uncovered-duals column: that is the population no incumbent D-SNP is serving today.
Stand up community partnerships before product launch; in low-coverage states the trusted-messenger network is the distribution channel.
Check the FIDE column when sequencing entries: states without FIDE infrastructure carry heavier Medicaid-integration lift for a new D-SNP.
Use the county table to place teams inside a state: high D-SNP share plus positive velocity marks duals-led growth already underway.

Provenance — Dual-eligible density by state

Source file: CMS Medicare-Medicaid dual enrollment data (MMCO quarterly)
Vintage: 2025 Q4
Last updated: March 15, 2026
Refresh cadence: Quarterly (pipeline pending; currently a curated extract)
Method: Duals as % of state Medicare population; D-SNP coverage % = share of duals in a county with ≥1 D-SNP available.
Known limitations: State-level only; FIDE availability flag is binary and does not reflect county variation.