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
Advancing Beneficiary Choice in Medicare Advantage: Shaping the Future of Nonmedical Supplemental Benefits Read Report
Flex Cards In Medicare Advantage: A Closer Look At Impact and Challenges Read Article
Data on Nonmedical Supplemental Benefits
2025
Flash Analysis: 2025 Nonmedical Supplemental Benefits in Medicare Advantage
2024
Chartbook: 2024 Nonmedical Supplemental Benefits in Medicare Advantage
2023
Chartbook: 2023 Nonmedical Supplemental Benefits in Medicare Advantage
Data Insight: Expanded Primarily Health-Related Benefits in Plan Year 2023
Metro and Non-Metro Medicare Advantage Plan Offerings of Nonmedical Supplemental Benefits Databook
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
Four years into implementation, nearly 40% of Medicare Advantage plans are offering either expanded primarily health-related benefits (EPHRB) or Special Supplemental Benefits for the Chronically Ill (SSBCI) in 2023. This latest report, guided by the SSBCI Leadership Circle and produced by ATI Advisory and LTQA, builds on prior research in 2020 and 2021. This report examines why benefits that help members stay in their homes – specifically in-home support services (IHSS), caregiver supports, and social needs benefits – have experienced significant growth and adoption despite the challenges in providing a human-powered service.
This latest report includes extensive data on these three benefits as well as recommendations for plans, providers, and policymakers to support more Medicare beneficiaries in having access to benefits that can meaningfully meet their needs and are delivered in alignment with the Guiding Principles.
2023
A Deep Dive on In-Home, Caregiver, and Social Supports in Medicare Advantage: Can These Benefits Meaningfully Meet Member Needs and Support Independence?
2021
Delivering on the Promise of the CHRONIC Care Act: Progress in Implementing Non-Medical Supplemental Benefits
2020
Providing Non-Medical Supplemental Benefits in Medicare Advantage: A Roadmap for Plans and Providers
Policy Recommendations
After five years of growth of nonmedical supplemental benefits, there are significant gaps in our knowledge and the data around these benefits, especially from the perspectives of Medicare beneficiaries. Action must be taken to close data gaps so that policymakers have the information necessary to assess and, if needed, refine these benefits to align with their original intent to support the needs of individuals with complex chronic conditions.
ATI Advisory and Long-Term Quality Alliance, with support from the SCAN Foundation, created the Evaluation Framework to chart a path for multiple stakeholders – including plans, policymakers, and researchers – to provide timely insights on Medicare Advantage enrollee needs, understanding, access, and experience of benefits; to enhance plan capabilities to collect and use data to improve benefit offerings; and to build the evidence base on nonmedical benefits’ effects.
2024
An Evaluation Framework for Assessing Nonmedical Supplemental Benefits in Medicare Advantage
Evaluation Framework One-Pager
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
Top Policy Recommendations
2020
Advancing Non-Medical Supplemental Benefits in Medicare Advantage: Considerations and Opportunities for Policymakers
Executive Summary
Top 5 Policy Opportunities
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.
Flex Cards In Medicare Advantage: A Closer Look At Impact and Challenges
Centering Beneficiaries’ Perspectives Amidst Change In The Medicare Advantage Supplemental Benefits Environment
Guiding Principles for Nonmedical Supplemental Benefits in Medicare Advantage
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
CY 2023 Medicare Advantage Proposed Rule: Impacts on Non-Medical Supplemental Benefits
SSBCI Leadership Circle Members
November 2023