HealthLeaders Media June 9, 2023
Lack of data reporting means there are unanswered questions around how supplemental benefits are utilized.
KEY TAKEAWAYS
Nearly all Medicare Advantage members are in plans that offer access to supplemental benefits like vision, hearing, and dental.
Yet how those services are used by enrollees isn’t reported by Medicare Advantage insurers because of lack of guidance on what encounter data is necessary to submit to CMS.
Without encounter data on supplemental benefits, it’s challenging to properly assess Medicare Advantage plans and understand how supplemental benefits can improve equity.
Supplemental benefits are a significant differentiator between Medicare Advantage (MA) and traditional Medicare, with enrollees often opting for the private program because of its coverage for services like...
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