Report Illustrates Challenge of Launching New MA Flex Benefits

Despite Medicare Advantage insurers’ enthusiasm for increased flexibility in allowable supplemental benefits and a slew of recent plan releases touting goodies such as pest control and “Papa Pals” for the 2020 plan year, uptake of more “resource intensive” benefits geared toward seriously ill seniors remains relatively modest, according to a new report from the Duke Margolis Center for Health Policy. That research adds to a growing body of evidence highlighting the challenges plans face in adopting new supplemental benefits.

Focusing on five categories of benefits that are applicable to seriously ill beneficiaries — adult day care, caregiver support, in-home support services, non-opioid pain management and palliative care — researchers analyzed plan benefit package (PBP) data available from CMS for 2015 through the first quarter of the 2020 contract year (the most recent data available).

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AIS Health Staff

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