A recent article in the Journal of General Internal Medicine, examines the evolution of Dual-Eligible Special Needs Plans (D-SNPs), and the Plans’ potential to coordinate care for beneficiaries enrolled in both Medicare and Medicaid. “Strange Bedfellows: Coordinating Medicare and Medicaid to Achieve Cost-Effective Care for Patients with the Greatest Health Needs” looks at policy changes aimed at dually eligible beneficiaries. In particular, the article reviews changes made as a result of the 2018 Bipartisan Budget Act, in which D-SNPs were permanently authorized. Coordination of care for the dually eligible population is critically important, as this population has low incomes and often, complex health care needs, which can result in poor health outcomes and significant expenditures for both programs. Are D-SNPs part of the solution?