More than one-third of enrollees in Medicare Advantage (MA) plans have chronic health needs and functional limitations that are best addressed through a combination of medical care and social services.
MA plans offer a unique opportunity to focus on high-value care for the most complex enrollees by implementing care model changes and community partnerships to address the multidimensional needs of this population. Recently, the Centers for Medicare and Medicaid Services (CMS) announced that MA plans would have greater flexibility in meeting those needs by providing new supplemental benefits to the chronically ill and expanding telehealth services.
In response to these changes, the Institute for Healthcare Improvement (IHI) is inviting MA plans to join one of two six-month Learning and Action Communities to develop or improve benefit offerings for members.