Medicare Advantage is in the spotlight. Enrollment in private Medicare Advantage health plans is steadily increasing and benefit packages are evolving. Now in their third year, plans are able to offer new, non-medical supplemental benefits including services like In-Home Support Services and Adult Day Care. First introduced in 2020 and now in their second year, plans can also offer a newer class of benefits known as Special Supplemental Benefits for the Chronically Ill, or SSBCI.
In 2021, 737 plans are offering new benefits like In-Home Supports or Caregiver Supports across the U.S., up from 499 in 2020. SSBCI are seeing an even greater increase from 267 plans in 2020, offering at least one SSBCI, to 942 plans in 2021.
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, Food and Produce (SSBCI), Social Needs Benefits (SSBCI), Meals (SSBCI), 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. 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. The report also does not include MSA plans.
This report has two key tabs “State Highlights” and “State Details.”
- The State Highlight tab provides a high-level overview of the most popular Medicare Advantage Organizations in State and their enrollment. The Highlights 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: Preventive Dental Benefit, Comprehensive Dental Benefit, Eye Exams, Eyewear, Hearing Exams, Hearing Aids, 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.
The report includes the following SSBCI: Food and Produce (SSBCI), Meals (SSBCI), Pest Control (SSBCI), Transportation for Non-Medical Needs (SSBCI), Indoor Air Quality Services (SSBCI), Social Needs Benefit (SSBCI), Complementary Therapies (SSBCI), Services Supporting Self-Direction (SSBCI), Structural Home Modifications (SSBCI), General Supports for Living (SSBCI), and Other SSBCI.
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)?
Certain states do not have any plans offering one of the five new primarily health-related benefits; these states include AK, DE, MT, ND, NE, SD, VT, WV, and WY.
4. Do all states have plans offering at least one SSBCI?
Due to the nationwide availability of the Meals (SSBCI) and Social Needs Benefits (SSBCI) benefits through MA plans (including through employer group health plans), all states have at least one plan offering an SSBCI (see full list of SSBCI under question #2).
5. 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’ February 2021 enrollment data. Star ratings are pulled from the Part C and Part D Performance Data for 2021.
6. 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.
7. How are Primarily Health-Related Benefits different from Special Supplemental Benefits for the Chronically Ill (SSBCI) and when will 2022 supplemental benefit data be released?
ATI Advisory explains the difference between primarily health-related benefits and SSBCI in this blog. 2022 data on primarily health-related benefits will be available in October 2021 and 2022 data on SSBCI will be available in Q1 of 2022.
8. I’m looking for more information and/or have questions about my report.
For more insights on these new benefits and trends, see our landing page on new supplemental benefits in Medicare Advantage, as well as our latest Chart Book. For questions, contact firstname.lastname@example.org.
9. 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.