Providing Non-Medical Supplemental Benefits in Medicare Advantage
Outlines practical steps for implementing flexible supplemental benefit offerings in Medicare Advantage plans.
Brief/Report
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Displaying 41 - 55 of 55
Medicare Advantage Supplemental Benefit Flexibilities: Adoption of and Access to Newly Expanded Supplemental Benefits in 2020
Analysis of expanded supplemental benefit adoption for Medicare Advantage enrollees
Brief/Report
Association of Medicare Advantage Penetration with Per Capita Spending, Emergency Department Visits, and Readmission Rates Among Fee-for-Service Medicare Beneficiaries with High Comorbidity Burden
Growth in Medicare Advantage plans linked to decreased cost and utilization for high-need, high-cost fee-for-service Medicare beneficiaries with multiple chronic conditions.
Peer-Reviewed Article
As It Grows, Medicare Advantage Is Enrolling More Low-Income and Medically Complex Beneficiaries
The proportion of low-income, frail, and medically complex individuals enrolled in Medicare Advantage is increasing.
Brief/Report
Are Medicare Advantage Plans Using New Supplemental Benefit Flexibility to Address Enrollees’ Health-Related Social Needs?
Multiple factors, including geographic variation in available resources, may limit take-up among MA plans of new benefit flexibilities.
Brief/Report
A Turning Point in Medicare Policy: Guiding Principles for New Flexibility Under Special Supplemental Benefits for the Chronically Ill
How to implement the new Medicare benefits.
Implementation Tool
‘Eyes in The Home’: ACOs Use Home Visits to Improve Care Management, Identify Needs, And Reduce Hospital Use
How home visits are used by ACOs to improve care, lower costs.
Peer-Reviewed Article
Health Care Transformation Task Force Value Partnership Evaluation Tool
A tool for assessing readiness for value-based partnerships.
Implementation Tool
Accountable Care Atlas: A Development Guide for Competency Implementation
This resources describes the competencies organizations need to transition to value-based payment.
Implementation Tool
Complex Care Models to Achieve Accountable Care Readiness: Lessons from Two Community Hospitals
Case studies of two community hospitals show how to advance accountable care.
Case Example
Bending the Spending Curve: The Role of Care Management in a Pioneer ACO
ACOs have lowered costs for high-need patients through care management programs focused on modifiable spending.
Peer-Reviewed Article
State Strategies: Value-Based Payment for Medicaid Populations with Complex Care Needs
This brief describes Medicaid payment reform strategies for long-term services and support.
Brief/Report
CareMore: Improving Outcomes and Controlling Health Care Spending for High-Needs Patients
CareMore’s business model identifies high-risk patients and surrounds them with coordinated services
Case Example
Challenges and Opportunities in Caring for High-Need, High-Cost Medicare Patients
Analysis of care models that serve Medicare-only individuals detailing policy barriers to providing uncovered services and supports and proposed strategies to address them.
Brief/Report
Payment to Promote Sustainability of Care Management Models for High-Need, High-Cost Patients
Provider incentives must be based on Triple Aim outcomes.
Brief/Report