Health Affairs February 24, 2021
Suhas Gondi, Dan Gebremedhin

Supplemental benefits, which have been a core value proposition of the Medicare Advantage (MA) program for years, are evolving. These special “non-medical” benefits—not provided by traditional Medicare but commonly offered by MA plans—have contributed to the significant growth of MA. More than one in three Medicare beneficiaries are now enrolled in MA plans, a 50 percent increase from 2010.

Traditionally, the scope of supplemental benefits was narrowly restricted to “primarily health-related” services, such as vision, hearing, and dental care. However, through regulatory changes in 2018 and 2019, the Centers for Medicare and Medicaid Services (CMS) expanded that scope to include benefits that support daily maintenance of health and address social determinants of health for beneficiaries with chronic disease. Consequently, MA...

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Topics: CMS, Govt Agencies, Insurance, Medicare Advantage, Patient / Consumer, Payer, Provider
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