Medicare Advantage

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Beneficiary Experience, Affordability, Utilization, and Quality in Medicare Advantage and Traditional Medicare: A Review of the Literature

The Kaiser Family Foundation's new report, “Beneficiary Experience, Affordability, Utilization, and Quality in Medicare Advantage and Traditional Medicare: A Review of the Literature,” details their findings from an analysis of 62 studies published since 2016 comparing traditional Medicare to Medicare Advantage. The analysis reviewed beneficiary experience, affordability, service utilization, and quality measures. According to the report, the review “found few differences between Medicare Advantage and traditional Medicare that are supported by strong evidence or have been replicated across multiple studies. Both Medicare Advantage and traditional Medicare beneficiaries reported similar rates of satisfaction.

Short URL: http://www.advancingstates.org/node/74122

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Disparities in Health Care in Medicare Advantage by Race, Ethnicity, and Sex

This report from CMS presents information on disparities in health care received by people using Medicare Advantage. The report looks at differences in quality of care based on race and ethnicity and sex as well as the intersections of race/ethnicity and sex. CMS uses data from the Consumer Assessment of Healthcare Providers and Systems and the Healthcare Effectiveness Data and Information Set in this report.

Short URL: http://www.advancingstates.org/node/73888

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Growth in New, Non-Medical Benefits Following the CHRONIC Care Act

Medicare Advantage (MA) plans have gained flexibility to offer a wide range of new supplemental benefits and to target benefits to members with specific conditions and individual need. This data insight provides an analysis of non-medical supplemental benefit growth since 2020, and focuses on the following: Special Supplemental Benefits for the Chronically Ill (SSBCI), which first became available in 2020 through the passage of the CHRONIC Care Act and a set of five Expanded Primarily Health-Related Benefits (EPHRB), which first became available in 2019 after the Centers for Medicare and Medicaid Services (CMS) expanded the definition of what could be considered “primarily health-related."

Short URL: http://www.advancingstates.org/node/73791

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Trends in Racial, Ethnic, Sex, and Rural-Urban Inequities in Health Care in Medicare Advantage: 2009-2018

The CMS Office of Minority Health (OMH) has published a new report, Trends in Racial, Ethnic, Sex, and Rural-Urban Inequities in Health Care in Medicare Advantage: 2009-2018. Since 2015, CMS OMH has published annual reports highlighting inequities in the quality of care delivered to Medicare beneficiaries nationwide. Until now, these reports have focused on comparisons within a single year. This new report analyzes historical trends in inequities by race, ethnicity, sex, and geography among Medicare beneficiaries enrolled in Medicare Advantage (MA) plans nationwide.

Short URL: http://www.advancingstates.org/node/73326

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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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