Our Work

Advancing Non-Medical Supplemental Benefits in Medicare Advantage

First available in 2019 and 2020, Medicare Advantage (MA) non-medical supplemental benefits provide an unprecedented opportunity to deliver valuable non-medical services to Medicare beneficiaries to maintain or improve their health. ATI Advisory and the Long-Term Quality Alliance, with support from The SCAN Foundation, have developed a set of resources for plans, providers, and policymakers to advance the availability and implementation of these benefits and the Guiding Principles in practice. Learn more below.

 

NEW 2021 Research

Medicare Advantage (MA) plans have faced an extraordinary year in healthcare amidst the continued Public Health Emergency. Despite these challenges, the sustained increase in the number of plans offering SSBCI and other new, non-medical supplemental benefits illustrates how plans value these authorities and remain committed to offering benefits of value to Medicare beneficiaries.

Building off of research and insights gathered from our 2020 Research (see below), for 2021, we interviewed more than 30 MA plans, providers, and beneficiary advocates to assess whether they have made progress planning, implementing, and delivering these new benefits, as well as what roadblocks remain.

While we have observed improvement on many fronts in the delivery of these benefits, there is substantial room for improvement in raising awareness and use of benefits and in assessing the impact of benefits offered. This work provides the latest research on the landscape of these benefits and the current state of SSBCI and other new, non-medical supplemental benefits in MA.

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Additional:

2020 Research (Released November 2020)

We interviewed over 20 MA plans and providers to get their take on the business opportunities, roadblocks, and strategies to overcome these roadblocks, associated with providing new, non-medical benefits.

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NEW 2021 Research

The past few years have provided Medicare Advantage Organizations (MAOs) with the opportunity to experiment with unprecedented flexibility to address the non-medical needs of their enrollees. MAOs are increasingly embracing this flexibility and leveraging it to provide care to their members that meets individual need, which has been especially valuable during the continued public health emergency.

Building off of research and insights gathered from our 2020 Research (see below), we interviewed more than 30 Medicare Advantage (MA) plans, providers, and beneficiary advocates to assess whether they have made progress planning, implementing, and delivering these new benefits, as well as what roadblocks remain, including those with potential policy solutions.

There are a number of administrative changes that the Centers for Medicare and Medicaid Services (CMS) can undertake in the short-term to move the needle on these benefits, particularly in the areas of eligibility, marketing and education, and building the evidence base. The recommendations outlined in this Policy Brief have the potential to improve uptake and access to these benefits in the upcoming plan year as well as to lay the groundwork for longer-term policy changes.

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Additional:

2020 Research (Released November 2020)

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Data Insights

Chartbooks

Articles and Blogs

Other Resources

Guiding Principles and Background

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