Medicare Advantage plans are facing challenges such as declining reimbursement rates, slower membership growth, rising competition, and increasing utilization leading to lower earnings. Plans are considering cutting supplemental benefits like dental, hearing, and vision insurance to cut costs. Regulators are emphasizing the value of benefits and new rules require reporting on benefit usage. Benefits must evolve to show tangible value to both payers and members. The focus will be on offering solutions specifically for older adults, engaging members year-round, and addressing health equity issues. These changes will result in more personalized and evidence-based benefits for members and more aligned with preventive care approaches for plans.
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Supplemental Benefits Must Return to Value
