Supplemental Benefits Must Return to Value

MedCity News April 3, 2024
Amanda Rees

In a new era of cost-conscientiousness in MA, supplemental benefits will be assessed on their usefulness — to both payers and beneficiaries

After years of “up-and-to-the-right” growth, Medicare Advantage plans are encountering headwinds, with declining reimbursement rates, slower membership increases, rising competition, and increasing utilization combining to put a damper on plans’ recent earnings. Nearly every publicly-traded plan expects their medical-loss ratio (MLR) to increase in 2024.In response, a number of payers have stated that supplemental benefits may be on the chopping block. These benefits include a wide variety of medical and non-medical programs — the most common being dental, hearing, and vision insurance. But beyond these core services that have underpinned MA’s value proposition to consumers, plans are reconsidering...

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