Advancing Non-Medical Supplemental Benefits in Medicare Advantage

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ATIWork
11/15/2022
AUTHOR – ATI Advisory

Since 2019, ATI Advisory and the Long-Term Quality Alliance, with support from The SCAN Foundation, have led national efforts to advance person-centered, non-medical supplemental benefits in Medicare Advantage. This resource center provides research and data for plans, providers, beneficiary advocates, policymakers, and other stakeholders to advance understanding and utilization of these benefits. All of our research is guided by the Supplemental Benefits Leadership Circle, a diverse group of experts across plans, providers, academia, and advocacy groups.


RECENT

Chartbook: 2023 Expanded Primarily Health-Related Benefits in Medicare Advantage

CY 2023 Medicare Advantage Proposed Rule: Impacts on Non-Medical Supplemental Benefits


Data on Non-Medical Supplemental Benefits


2023

Chartbook: 2023 Expanded Primarily-Health Related Benefits

Data Insight: Expanded Primarily Health-Related Benefits in Plan Year 2023

2022

Chartbook: 2022 New, Non-Medical Supplemental Benefits

Data Insight: Growth in New, Non-Medical Benefits Since Implementation of the CHRONIC Care Act

2021

Chartbook: 2021 Special Supplemental Benefits for the Chronically Ill

Data Insight: Special Supplemental Benefits for the Chronically Ill in Plan Year 2021

Chartbook: 2021 Expanded Primarily-Health Related Benefits

Data Insight: New Primarily Health-Related Benefits in 2021 Medicare Advantage Plans

2020

Chartbook: 2020 SSBCI and New Primarily-Health Related Benefits

Data Insight: Meeting Medicare Beneficiary Needs During COVID-19: Using Medicare Advantage Supplemental Benefits to Respond to the Pandemic


Implementation Roadmaps & 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 from research and insights gathered from our 2020 Research, 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.


2021

Delivering on the Promise of the CHRONIC Care Act: Progress in Implementing Non-Medical Supplemental Benefits

2020


Policy Recommendations


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.

There are a number of legislative changes that Congress can undertake to advance these benefits. Based on several years of research tracking the initial implementation and progress of these new supplemental benefits, we have developed three key policy recommendations for Congress to consider to advance new supplemental benefits in Medicare Advantage. The recommendations have the potential to improve access to these benefits, as well as increase visibility into how these benefits are being received and their impacts.


2022

Fulfilling the Promise of the CHRONIC Care Act: Policy Recommendations to Advance New Supplemental Benefits in Medicare Advantage

Top Recommendations for Congress to Advance New Supplemental Benefits in Medicare Advantage

2021

Delivering on the Promise of the CHRONIC Care Act: Policy Recommendations for the Administration to Advance Non-Medical Supplemental Benefits

2020

Advancing Non-Medical Supplemental Benefits in Medicare Advantage: Considerations and Opportunities for Policymakers


Background & Other Resources


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.

There are a number of legislative changes that Congress can undertake to advance these benefits. Based on several years of research tracking the initial implementation and progress of these new supplemental benefits, we have developed three key policy recommendations for Congress to consider to advance new supplemental benefits in Medicare Advantage. The recommendations have the potential to improve access to these benefits, as well as increase visibility into how these benefits are being received and their impacts.


A Turning Point in Medicare Policy

Chronic Care Act: Making the Case for Non-Medical Services and Supports in Medicare Advantage Supplemental Benefits

Non-Medical Supplemental Benefits FAQ

LTQA Webinar (Part 1) Recording: Advancing Non-Medical Supplemental Benefits in Medicare Advantage

LTQA Webinar and Panel (Part 2) Recording: Advancing Non-Medical Supplemental Benefits in Medicare Advantage

Insights from the Roadmap Report with ATI’s Allison Rizer and Tyler Overstreet Cromer

Insights from the Policy Brief with ATI’s Tyler Overstreet Cromer and LTQA’s Mary Kaschak

CY 2023 Medicare Advantage Proposed Rule: Impacts on Non-Medical Supplemental Benefits

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