Medicare benefits should not be a one-size-fits-all approach and now 1/3rd of the 61 million people who are enrolled in a Medicare Advantage (MA) plan and have the option to shop around for the “perfect fit”. MA has long offered extra benefits in addition to those covered by traditional Medicare. Known as supplemental benefits, these services have commonly included dental, vision, and hearing coverage. Now, MA plans have new flexibility to offer more supplemental benefits – a consequence of the CMS Rule expanding supplemental benefits for Medicare beneficiaries. The new expanded benefits include in-home care, caregiver support, transportation, and meal delivery to name a few.
As the healthcare industry’s focus shifts increasingly to population health, barriers such as transportation and food and housing insecurity are entering the equation of what it means to be and remain healthy. A recent report states that more than half of MA beneficiaries surveyed want their plans to cover assistance at home. However, according to AARP, in 2019, only 13% of MA plans will be offering in-home support services such as respite care, 3% will offer personal care and housekeeping, and a mere 1% will cover palliative care. MA plans should carefully plan their strategy and determine the best business partners as they prepare an attractive benefits package for 2020.
Our panel of experts will discuss recent industry reports and surveys, offering best practices on how MA plans can move from offering the minimum to a robust benefit package (attractive to the 20 million+ MA enrollees).
Dr. Michael Cantor
Chief Medical Officer
Dr. Cantor is a geriatrician and attorney with extensive experience in designing and implementing population health and quality improvement programs for health plans and healthcare providers. He trained in internal medicine at Beth Israel Hospital in Boston, and did his geriatrics fellowship at Harvard Medical School. His degrees in law and medicine are from the University of Illinois.
Prior to CareCentrix, he served as CMO for the New England Quality Care Alliance (NEQCA), the 1,800-physician network for Tufts Medical Center in Boston, where he managed network-wide population health and quality improvement programs. He also served as founding Medical Director for the NEQCA Medicare Shared Savings Accountable Care Organization (ACO), and was the first CMO for Minuteman Health, a CO-OP insurance plan, where he developed and implemented medical management programs.
Core Product Solutions and Marketing
Melissa Carr brings more than 15 years of experience in healthcare leadership to CareCentrix. As General Manager, Core Home Solutions, she is responsible for Product Development, Clinical Product Strategy and Marketing
Melissa comes to CareCentrix from Express Scripts, formerly Medco Health Solutions, where she was the GM for Member Experience and Home Delivery, responsible for patient and provider digital strategies and the multi-billion dollar home delivery pharmacy. She also led the cross-functional team responsible for launch of Inside Rx to provide prescription discounts for the Un/Underinsured market. During her tenure at Express Scripts she had various leadership roles in marketing and product to deliver solutions to meet the evolving healthcare needs. Previously, Melissa was an actuarial analyst at United Healthcare.