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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…
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,…
In the last couple of years, CMS and congress have granted Medicare Advantage (MA) plans additional flexibility to address enrollees’ unmet needs. Plans can now target specific medical and non-medical benefits to beneficiaries with chronic conditions and unmet needs. These 'supplemental benefits' include services like enhanced dental and vision services, hearing, OTC medications and supplies,…