Healthcare DIVE September 19, 2019
Ron Shinkman

Dive Brief:

  • The Centers for Medicare and Medicaid Services allowed Medicare Advantage plans to use cost control rebates for non-medical enrollee benefits. Although the average rebate is $107 per member per month, a new Robert Wood Johnson and Urban Institute report suggests there may be some barriers in pushing new benefits out to beneficiaries.
  • The biggest obstacle is the rebates are already being applied to previously allowable expenditures, such as for dental coverage or other medically-related benefits.
  • However, some MA insurers say they’re expanding coverage for meals, adult day care and other services.

Dive Insight:

About 22 million seniors and disabled are enrolled in MA health plans, making them one of the most important components of Medicare....

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: CMS, Equity/SDOH, Govt Agencies, Insurance, Medicare Advantage, Patient / Consumer, Payer, Provider
Medicare Advantage Enrollees Use Less Home Health Care In Their Final Days Than Traditional Medicare Patients
Medicare Advantage insurers ranked by prior authorization denial rates | 2023
Why Yale New Haven is having 'frank conversations' about MA
Medicare Advantage insurers made about 50 million prior authorization determinations in 2023
Cigna's Medicare Advantage sale on track to close in Q1

Share This Article