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Witnesses defend supplemental benefits in Medicare Advantage while urging transparency on utilization
Summary
Plan executives and nonprofit plan leaders said supplemental benefits such as meals, transportation and integrated Part D coverage help beneficiaries, but analysts and lawmakers urged more transparent reporting on how those dollars are used.
Several witnesses told the House subcommittees that supplemental benefits are a core reason many beneficiaries choose Medicare Advantage and that those benefits can reduce utilization and improve outcomes when targeted to high-need patients.
Dawn Maroney, CEO of Alignment Health Plan, described an instance where a data-flagged, high-risk member received a $30 meal delivery that averted a costly hospitalization. “When we sent him a $30 pizza instead of sending him to the hospital, it not only avoided an unnecessary $20,000 hospitalization, it built trust,” Maroney said.
Sachin Jain,…
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