Customized Care for Complex Conditions in Medicare Advantage

Brian Miller, Steven Zima and Gail Wilensky
Additional contact information
Brian Miller: American Enterprise Institute

AEI Economic Perspectives, 2022

Abstract: Medicare beneficiaries frequently select suboptimal Medicare Advantage plan products or elect traditional fee-for-service Medicare due to choice paralysis, cognitive impairments, and consumer health insurance illiteracy. Medicare Advantage Chronic Condition Special Needs Plans (C-SNPs) offer an opportunity to tie disease to both plan design and marketing, simplifying consumer choice architecture. This report explores additional refinement in the C-SNP program to help unlock this potential, examining programmatic regulatory requirements, qualifying diseases, and marketing rules with an aim to improving care for multi-morbid Medicare beneficiaries.

Keywords: AEI Economic Perspectives; Health care reform; Medicare; Medicare Advantage (search for similar items in EconPapers)
JEL-codes: A (search for similar items in EconPapers)
Date: 2022
References: Add references at CitEc
Citations:

Downloads: (external link)
https://www.aei.org/wp-content/uploads/2022/08/Cus ... Advantage.pdf?x85095

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:aei:journl:y:2022:id:1008619137

Access Statistics for this article

More articles in AEI Economic Perspectives from American Enterprise Institute Contact information at EDIRC.
Bibliographic data for series maintained by Dave Adams, CIO ().