Health Affairs November 22, 2023
Montgomery Smith, William K. Bleser, Jonathan Gonzalez-Smith, Bruce Leff, Robert S. Saunders

In this two-part article, we explore opportunities to scale equitable access and longitudinal care experiences with home-based care in Medicare Advantage (MA). In Part 1, we assessed recent regulatory changes and market investments in MA related to the provision of home-based care. Here, we highlight two sets of timely opportunities to advance home-based care through MA, specifically actions that can improve equitable uptake of offerings and reduce administrative burden for home-based care in MA.

Improving Equitable Home-Based Care Uptake

Prior to the new authorities outlined in Part 1, MA plans had to balance requirements that any benefit must be offered to all enrollees and must be provided within their overall capitation rate. This challenged their ability to offer tailored services...

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Topics: Insurance, Medicare Advantage, Patient / Consumer, Post-Acute Care, Provider
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