CMS Seeks Public Feedback to Improve Medicare Advantage

CMS released a Request for Information seeking public comment on the Medicare Advantage program. HCAOA will be submitting comments on behalf of members, and all members are encouraged to send comments or feedback to [email protected] by August 24.

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In the Medicare Advantage program – also known as Medicare Part C – Medicare contracts with private insurers that must offer all Traditional Medicare services to people with Medicare and may offer added supplemental benefits, including in-home care.
 
Several years ago, CMS allowed Medicare Advantage plans to offer home care as a supplemental benefit. Since then, HCAOA has encouraged members to keep this on their radar as a potential new source for revenue.
 
“The number of MA plans offering supplemental benefits is growing exponentially, and agencies should develop an action plan to get involved with these networks and potentially open up a whole new revenue stream,” said HCAOA CEO Vicki Hoak.
 
Medicare Advantage provides a holistic approach to care through supplemental services, including access to in-home care and services, telehealth services, wellness and physical fitness benefits, and benefits that address health-related social needs such as food insecurity, social connections, and transportation needs. According to the Better Medicare Alliance, this model provides improved health outcomes with 43% fewer avoidable hospitalizations for any condition, lower hospital readmission rates, and higher rates of utilization of preventive
services.
 
Click here for the RFI.