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New Opportunities to Tailor Benefits to Special Populations: MA Special Supplemental Benefits for the Chronically Ill Thursday, September 26th, 2019 | 1:00PM - 2:00PM Eastern |
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Faculty: Hank Osowski, Managing Partner, Strategic Health Group LLC
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The Bipartisan Budget Act of 2018 expanded
the types of supplemental benefits that may be offered by Medicare
Advantage (MA) plans to chronically ill enrollees, which CMS has
categorized as Special Supplemental Benefits for the Chronically Ill
(SSBCI). The new opportunity for Medicare Advantage plans that emerges from SSBCI is part of the evolution toward keeping people healthy and independent rather than reacting to an acute episode, and deploying social determinants of health related strategies as a means in meeting this objective. Provision of the supplemental benefits to targeted populations involves a reasonable expectation of improving the chronic disease or maintaining the population's health or overall function. This session discusses developing a multi-functional view of your member’s profile and your utilization data, determining which member profiles get extra supplemental benefits (and which ones don’t), incorporating objective criteria and maintaining detailed documentation. Click here for detailed information or to register or call 209.577.4888. |
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