Health Payer Intelligence September 24, 2019
CMS efforts to empower Medicare Advantage plans to tackle social determinants of health (SDOH) led mainly to the expansion of existing benefits but not the addition of new benefits, stakeholders told the Robert Wood Johnson Foundation (RWJF) in a recent study.
“Plans were supportive of new benefits but were reluctant to expand offerings rapidly,” the study, which outlined viewpoints from payers, industry experts, and other relevant stakeholders stated. “They say most Medicare Advantage plans expanded benefits in piecemeal fashion, most often addressing meal delivery and adult day care.”
The Medicare Advantage population, particularly dual eligibles, need assistance in social determinants of health but until now Medicare Advantage plans have not had enough flexibility to provide it.
Additionally, industry experts have...
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