Customized Care for Complex Conditions in Medicare Advantage

Customized Care for Complex Conditions in Medicare Advantage

25 Aug 2022

Medicare beneficiaries frequently select suboptimal Medicare Advantage plan products or elect traditional fee-for-service Medicare due to choice paralysis, cognitive impairments, and consumer health insurance illiteracy. Medicare Advantage Chronic Condition Special Needs Plans (C-SNPs) offer an opportunity to tie disease to both plan design and marketing, simplifying consumer choice architecture. This report explores additional refinement in the C-SNP program to help unlock this potential, examining programmatic regulatory requirements, qualifying diseases, and marketing rules with an aim to improving care for multi-morbid Medicare beneficiaries.
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Authors

Brian J. Miller, Steven C. Zima, Gail R. Wilensky

Published in
United States of America