New Opportunities for Serving Complex Care Populations in Medicare Advantage

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Today, health plans have flexible benefit tools in the Medicare Advantage program. With data analysis by Anne Tumlinson Innovations, this slide deck discusses how health plans can deploy these tools and adopt innovations to serve a rapidly growing group of members age 75 and older.

Date Updated: 12/12/2018
  • The Medicare Advantage population with complex care needs now mirrors beneficiaries in fee-for-service in that health plan members experience functional impairment and other markers of complexity at the same rate as fee-for-service.
  • Functional impairment and other markers of complexity, such as chronic conditions, are strongly associated with high health care spending.
  • Health plans that adopt care delivery innovations for complex care populations will create value and reduce spending.
  • Today, health plans have flexible benefit tools in the Medicare Advantage program.
  • The time is now! Plans will need to deploy these tools and adopt innovations to serve a rapidly growing group of members age 75 and older…

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