Medicare Advantage

Work

Metro and Non-Metro Medicare Advantage Plan Offerings of Nonmedical Supplemental Benefits Databook

ATI Advisory in partnership with the Rosalynn Carter Institute for Caregivers (RCI) sought to explore the evidence and needs of dementia caregivers that might inform a Medicare model test related to dementia care. On July 31, 2023, the Center for Medicare and Medicaid Innovation (CMMI) released the Guiding an Improved Dementia Experience (GUIDE) Model that includes explicit support for caregivers and is set to launch in July 2024.
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Work

Comparing Medicare Advantage and FFS Medicare Across Race and Ethnicity

Understanding differences in Medicare beneficiary experiences by race and ethnicity across Medicare Advantage and FFS Medicare can help policymakers and business leaders identify opportunities for health equity and continual improvement across both pathways to Medicare coverage.
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Insights

Heeding the Administrator’s Call: Opportunities to Improve Supplemental Benefit Data

Medicare Advantage (MA) plans are able to offer additional benefits over the benefits all Medicare beneficiaries receive – called supplemental benefits. These supplemental benefits most typically take the form of vision, dental, hearing, and medical transportation services, but the types of benefits offered are evolving rapidly to include things like in-home support services or personal care, food, and help paying utility bills. Improving data available on these supplemental benefits in MA is clearly on the minds of officials at the Centers for Medicare and Medicaid Services (CMS).
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Podcasts

Improve CAHPS through Enhanced Benefits Navigation

Anne Tumlinson joined healthcare leaders from Alignment Health, SCAN, and Dina about the importance of Medicare Advantage plans to ensure members understand available non-medical benefits. Making the experience painless is essential to attracting and retaining members – and improving CAHPS and Star Ratings. This session is packed with successful strategies and best practices plans can implement to improve member experience and ensure members receive the care they need. Panelists discuss humanizing the navigation process; creating a culture of customer service, streamlining technology to benefit navigation, and leveraging home-centered care.
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Work

A Deep Dive on In-Home, Caregiver, and Social Supports in Medicare Advantage: Can These Benefits Meaningfully Meet Member Needs and Support Independence?

Four years into implementation, nearly 40% of Medicare Advantage plans are offering nonmedical supplemental benefits in 2023. This latest 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.
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Work

Characteristics of Medicare Fee-for-Service Beneficiaries and Providers Impacted by Proposed CY2024 HCC Model

On February 1, 2023, CMS released the Advance Notice of Methodological Changes for Calendar Year (CY) 2024 for Medicare Advantage (MA) that proposed several changes to the Hierarchical Condition Category (HCC) model.
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