Optimism, Doubts Abound Regarding Tailored Medicare Advantage Plans

  • Nov 01, 2024

    With more Medicare Advantage plans tailored to specific populations such as racial minorities and the LGBTQ+ community, insurers are doing a better job serving historically underserved groups, according to speakers at a recent Johns Hopkins University webinar. Sachin Jain, M.D., CEO of SCAN Health Plan, said the tailored plans “have a ton of potential,” but he cautioned that the offerings are in the “first inning” and are mixed in terms of their effectiveness and differentiation from more standard plans. 

    “I think some of the execution has been really good, and some of it’s been really shallow,” Jain said. “Shallow looks like websites that are translated using outside vendors to mimic the language of the beneficiaries that they were targeting, and then excellent looks like plans that are actually contracting with specific provider networks, thinking differently about their benefits, thinking differently about the overall messaging.” 

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  • Tim Casey

    Tim has been a reporter and editor for newspapers, websites and magazines for more than 20 years, including 10 years covering health care business topics. He has a deep knowledge of the managed care industry and pharmacy benefit management. He also has experience covering medical conferences and clinical and legislative health care issues. In 2014, the Society for Advancing Business Editing and Writing selected Tim as one of 15 journalists to participate in a national symposium on the Affordable Care Act. Tim has a B.A. in Psychology from the University of Notre Dame and an M.B.A. from Georgetown University.

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