Deloitte April 24, 2018
My Take
The administration opened the doors for notably greater flexibility in Medicare Advantage (MA) in the final rule released this month by the US Centers for Medicare and Medicaid Services (CMS). Recent policy changes are opening new strategic avenues for health plan offerings in 2019 and beyond.
The administration and Congress view MA as having a structure that could be leveraged to alter the scope and purpose of health insurance in meaningful ways. Special needs plans (SNPs) and value-based insurance design demonstrations (VBID), for example, are part of the same idea—they take advantage of the inherent flexibilities of a private health plan paid on a capitated basis. Consider this:
- SNPs that allow for benefits structures tailored to specific...
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