Medicare Advantage is in the spotlight. Enrollment in private Medicare Advantage health plans is steadily increasing and benefit packages are evolving. For the third year, plans are allowed to offer non-medical supplemental benefits including benefits like in-home support services and adult day care. In 2021, 738 plans are offering these new benefits across the U.S., up from 499 in 2020.
To better serve Medicare Advantage beneficiaries, providers need to understand their local Medicare Advantage landscape to pinpoint which plans are active in the area and offering these new benefits.
Our research of Medicare Advantage plans’ benefit packages enables service providers to quickly and easily learn the county-level benefit offerings, such as in-home support services, home-based palliative care, remote access technologies, telemonitoring services, and personal emergency response system (PERS) (see FAQs below for a complete list). ATI Advisory reports will help service providers build strong working relationships with local Medicare Advantage plans and improve overall care delivery for Medicare Advantage enrollees.
Stay tuned as ATI Advisory delivers regular insights as you use the report to deliver value to Medicare Advantage enrollees and plans.
1. What data are included in this report?
This report includes data on Medicare Advantage Plans’ filed 2021 supplemental benefits (that are primarily health-related – included benefits listed below). Please note this report does not include PACE plans or MMP demonstration plans due to the nature of these products and their use of Medicaid funding to cover non-medical services.
This report has two key tabs “State Highlights” and “StateDetails.”
- The State Highlight tab provides a high-level overview of the most popular Medicare Advantage Organizations in State and their enrollment. The Highlight tab displays which Medicare Advantage Organizations are offering supplemental benefits of interest (e.g., In Home Support Services) in State, as well as the counties where at least one plan is offering this benefit.
- The State Details tab includes additional details on which plans are offering these benefits, current plan enrollment, and where benefits are being offered throughout State.
2. Which supplemental benefits are included in this report?
This report lists the following primarily health-related benefits plans filed with CMS to offer in 2021: Transportation to Medical Locations, Acupuncture, Over-the-Counter (OTC) Items, Limited Duration Meal Benefit, Health Education, Nutritional/Dietary Benefit, Additional Sessions of Smoking and Tobacco Cessation Counseling, Fitness Benefit, Enhanced Disease Management, Telemonitoring Services, Remote Access Technologies, Bathroom Safety Devices, Counseling Services, In-Home Safety Assessment, Personal Emergency Response System (PERS), Medical Nutrition Therapy, Post Discharge In-home Medication Reconciliation, Re-admission Prevention, Wigs for Hair Loss Related to Chemotherapy, Weight Management Programs, Alternative Therapies, Therapeutic Massage, Adult Day Health Services, Home-Based Palliative Care, In-home Support Services, and Support for Caregivers.
3. Do all states have plans offering one of the five new primarily-health related benefits (In-Home Support Services, Adult Day Health Services, Home-Based Palliative Care, Support for Caregivers of Enrollees, and Therapeutic Massage)?
All states do not have plans offering these five new primarily-health related benefits. States that do not have plans offering these five benefits include: AK, DE, MT, ND, NE, SD, VT, WV, and WY.
All states have plans offering at least one primarily health related supplemental benefit (see full list under question #2).
4. What is the source and recency of this data?
The Centers for Medicare & Medicaid Services (CMS) is the source of all data in this report. Supplemental benefit data reflect 2021 plan offerings, while enrollment numbers are pulled using CMS’ September 2020 enrollment data. Enrollment will be updated early next year with the 2021 SSBCI release. Star ratings are pulled from the Part C and Part D Performance Data for 2021.
5. How can I use these data?
Use these data to see which plans are offering supplemental benefits of interest to your organization and the counties where they are offering them. These data will help you identify which Medicare Advantage plans may need your services.
6. How are Primarily Health-Related Benefits different from the Special Supplemental Benefits for the Chronically Ill (SSBCI) and when will data on SSBCI be released?
ATI Advisory explains the difference between primarily health related benefits and SSBCI in this blog. We expect SSBCI data to be released by CMS between January to March of 2021 and will be adding these new data in a combined report once the new data are available.
7. I’m looking for more information and/or have questions about my report.
ATI will be hosting an interactive webinar in the coming weeks to review the report in detail and to provide additional insights from our research. Stay tuned for an invite with details to join the conversation. For additional questions, please contact firstname.lastname@example.org.
For more insights on these new benefits and trends, please see our recently released Data Insight and Chart Book.
8. I would like to access reports for my national organization.
Reports were prepared to provide market level insights to individual service provider organizations. For corporate leadership and national organizations looking for data to support Medicare Advantage strategy, please contact us at email@example.com for more information and specialized data reports.