Managed Healthcare Executive February 17, 2025
With the introduction of the Health Equity Index (HEI) to Star Ratings methodology, health plans have yet another incentive to address health disparities.
Meeting the complex needs of socially vulnerable populations, including low-income people of color and those with disabilities, is one of most pressing challenges for Medicare Advantage (MA) plans, especially dual eligible special needs plans (D-SNPs). Yet the fact remains that people living in socially vulnerable communities are less likely to have access to high-rated MA plans because of:
- Higher rates of poverty and unemployment, which can lead to higher healthcare costs that make it riskier for plans to serve these communities
- Shortages of primary care physicians and specialists
- Higher rates of chronic disease, mental health conditions,...
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