Enhanced care management for supplemental benefits

Enhanced care management for supplemental benefits

With supplemental benefits, many Medicare Advantage (MA) plans are attempting to address both the medical and social risks. The supplemental benefits include health-related services such as vision, dental, and hearing as well as services to address SDoH such as transportation, meal delivery, structural home modifications, pest control, etc. Most supplemental benefits are offered to members…

Streamlining MA supplemental benefits

Streamlining administration and reimbursement for MA plans supplemental benefits

What are supplemental benefits in Medicare Advantage? Medicare Advantage plans cover all hospital and medical services provided under original Medicare. Outside of Medicare-covered services, MA plans provide additional coverage with supplemental benefits for their enrollees' health and social needs. These benefits include vision, dental, transportation, access to meals, hearing aids, gym memberships, and more. Who…

Data-driven approach to address SDoH & social needs

Addressing health related social needs and social determinants of health in ECM (enhanced care management) and MA supplemental benefits

Understanding and addressing social determinants of health (SDoH) and health-related social needs at the individual level is the critical first step in improving outcomes, reducing disparities, and reducing healthcare costs. The social determinants of health are conditions in the environment in which the people are born and live. The health-related social needs include food security,…