County-Level Enrollment in Medicare Advantage Plans Offering Expanded Supplemental Benefits
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View abstract on PubMed
Summary
This summary is machine-generated.Medicare Advantage plans increasingly offer supplemental benefits for long-term services and supports (LTSS) and social determinants of health (SDOH). Enrollment growth is highest in Dual Eligible Special Needs Plans (D-SNPs) offering SDOH benefits, with geographic disparities noted.
Area Of Science
- Health Services Research
- Public Health Policy
- Gerontology
Background
- Medicare Advantage (MA) plans can now offer supplemental benefits addressing long-term services and supports (LTSS) and social determinants of health (SDOH) since 2019-2020.
- These benefits aim to improve health outcomes and address socioeconomic needs of beneficiaries.
Purpose Of The Study
- To analyze temporal trends in enrollment for MA plans offering LTSS and SDOH benefits.
- To investigate geographic variations in enrollment across different county characteristics.
Main Methods
- Cross-sectional study utilizing publicly available MA enrollment and benefits data from 2020 to 2024.
- Multivariable linear regression models were used to assess associations between county characteristics and enrollment in 2024.
- Analyses were stratified for Dual Eligible Special Needs Plans (D-SNPs) and non-D-SNPs.
Main Results
- From 2020 to 2024, D-SNP enrollees in plans offering SDOH benefits increased from 9% to 46%.
- Non-D-SNP enrollees with LTSS and SDOH benefits increased from 2020-2023 but decreased in 2024.
- In 2024, in-home support services and food/produce were the most common LTSS and SDOH benefits, respectively, with significant county-level variation.
Conclusions
- Enrollment growth was most significant in D-SNPs offering SDOH benefits.
- Geographic disparities in enrollment suggest potential access gaps for rural beneficiaries and dual-eligible enrollees.
- Factors like MA penetration, urbanicity, and integrated plan enrollment influence benefit uptake.
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