Medicare Advantage Expanded Benefits Flashcards
1
Q
Medicare Advantage Expanded Benefits
Requirements for MA Plan to Provide Supplemental Benefit
A
- Medically appropriate health care benefit
- Recommended by licensed provider
- Not for sole purpose of inducing enrollment
2
Q
Medicare Advantage Expanded Benefits
Definition and Purpose
A
- Expanded scope of health-related supplemental benefits in MA Plans (2019)
- Goal = Enhance beneficiaries’ quality of life and improve health outcomes
3
Q
Medicare Advantage Expanded Benefits
Expanded Benefit Trends
A
- Driver was not competition between insurers
- Areas with higher insurer participation = more likely to offer benefits
- Urban areas = more likely to have expanded benefits than rural
4
Q
Medicare Advantage Expanded Benefits
Drivers in Selection of Expanded Benefits
A
- Insurer = utilization, economies of scale, and net expenditures
- Insured = maximum variety of benefit available
