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Article | July 3, 2024

CMS Sets New Standards for SSBCI and Supplemental Benefits Across Medicare Advantage Plans

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The Centers for Medicare & Medicaid Services (CMS) recently released a final rule with changes to the Medicare Advantage (MA) and prescription drug program (MA-PD) for Contract Year 2025 (CY2025). CMS’ stated goal for the final rule is to strengthen…

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Executive Briefing | February 8, 2024

Less is the New More with Medicare Advantage Supplemental Benefits in 2024

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Medicare Advantage Organizations (MAOs) face an inherent tension to grow despite financial constraints on margin. This pressure makes it difficult to invest in competitive benefit design elements that are known to drive growth, including supplemental benefits. Significant financial headwinds including…

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Executive Briefing | February 14, 2023

Supplemental Benefit Trends 2023

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Studies have previously suggested that MA members are “sticky” and rarely change coverage; however, this behavior may be changing given the proliferation of product options and availability of rich benefits. For example, at the recent JP Morgan Healthcare Conference, Humana…

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