SDoH-Related Unhealthy Days Lead To Higher Health Care Costs For Medicare Advantage Plans

Home Health Care News August 29, 2024
Joyce Famakinwa

When examining a Medicare Advantage (MA) population, one unhealthy day was enough to increase 30-day medical costs, a new study found.

The study sought to examine the connection between self-reported physically and mentally unhealthy days and health care costs among an MA population. One of the driving forces behind the study was Papa, a company that has a number of wide-ranging partnerships with MA plans.

“As a vendor, or a supplemental benefit, we’re in this tough position where we want to prove our value,” Kelsey McNamara, senior director of research at Papa, told Home Health Care News. “Our clients are asking us, how are you reducing medical costs? It’s rare that we have direct access to health care claims data,...

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