Medicare Advantage

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Medicare Advantage Plans and Supplemental Benefit Flexibility

The Urban Institute conducted a series of interviews with Medicare Advantage plans, Medicare Advantage experts, and social service providers to better understand how health plans were responding to CMS’s new flexibility with regards to supplemental benefits. This report presents the findings from these interviews. It also explores possible policy changes to further support supplemental benefits and describes what funding and resources are available for state to administer these benefits.

Short URL: http://www.advancingstates.org/node/71772

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Information Sharing to Improve Care Coordination for High-Risk Dual Eligible Special Needs Plan Enrollees: Key Questions for State Implementation

This technical assistance tool focuses on the new “information sharing” requirement for Dual Eligible Special Needs Plans beginning in 2021. The tool explains the new requirement as well as how to address the requirement in mandatory D-SNP contracts.

Short URL: http://www.advancingstates.org/node/71731

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Promoting Information Sharing by Dual Eligible Special Needs Plans to Improve Care Transitions: State Options and Considerations

In 2021, under a recently released rule from CMS, D-SNPs will be required to notify the state or state’s designee when enrollees experience Medicare-covered hospital or skilled nursing facility admissions in order to ensure timely transitions of care. The Integrated Care Resource Center has released a brief that examines approaches from three states – Oregon, Pennsylvania, and Tennessee – to develop and implement information-sharing processes for their D-SNPs that support care transitions.

Short URL: http://www.advancingstates.org/node/71656

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Medicare Plan Finder: Usability Problems and Incomplete Information Create Challenges for Beneficiaries Comparing Coverage Options

The GAO released a report to the Chairman of the Committee on Ways and Means summarizing findings of a survey sent to State Health Insurance Assistance Programs (SHIP) directors about the usability of the Medicare Plan Finder (MPF) website. The MPF website is a resource for comparing Medicare coverage options to help beneficiaries make informed decisions about their coverage. The report also includes other areas of improvement to make the website more user-friendly.

Short URL: http://www.advancingstates.org/node/71651

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Supplemental Benefits in Medicare Advantage: Recent Public Policy Changes and What They Mean for Consumers

The AARP Public Policy Institute released a report outlining the recent changes to supplemental benefits in Medicare Advantage. The report explains the major changes in benefits present in the Bipartisan Budget Act of 2018.

Short URL: http://www.advancingstates.org/node/71628

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Policy Spotlight: New Federal Law and Rules Open Door for Integrated Care in Medicare Advantage

This brief summarizes how recent changes to Medicare Advantage may enable AAAs and other CBOs to form new partnerships with Medicare Advantage plans. These partnerships can be used to provide supplemental benefits, such as home-delivered meals and transportation, to beneficiaries. The updated brief covers additional guidance from CMS on the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act.

Short URL: http://www.advancingstates.org/node/70807

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Racial, Ethnic, and Gender Disparities in Health Care in Medicare Advantage

This report analyzes disparities in the care received by Medicare Advantage beneficiaries during 2015-2016. The report was compiled using information from the Healthcare Effectiveness Data and Information Set (HEDIS) and the Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. It looks at differences in care by race, ethnicity, and gender and also isolates racial and ethnic differences experienced by women and men.

Short URL: http://www.advancingstates.org/node/70335

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State Medicaid Managed Long-Term Services and Supports Programs: Considerations for Contracting with Medicare Advantage Dual Eligible Special Needs Plans

The Center for Health Care Strategies, Inc. released a technical assistance brief, funded through support by the Robert Wood Johnson Foundation, titled "State Medicaid Managed Long-Term Services and Supports Programs: Considerations for Contracting with Medicare Advantage Dual Eligible Special Needs Plans."

Short URL: http://www.advancingstates.org/node/68844

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Building a Culture of Engagement for Medicare-Medicaid Enrollees: Health Plan Approaches

The Center for Health Care Strategies released a brief, funded by the Commonwealth Fund, that examined member engagement approaches used by participating health plans in Promoting Integrated Direct Care for Eligibles (PRIDE). The brief highlights promising strategies for providing Medicare-Medicaid enrollees with complex medical, behavioral health, and social service needs. There is a specific emphasis on the approaches to building trusting relationships with members.

Short URL: http://www.advancingstates.org/node/66775

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