In 2024, Medicare Advantage Plans Made Headway in Health Equity, Duals Integration
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Dec 19, 2024
In the face of multiple challenges that led to hard lessons learned for Medicare Advantage insurers, industry experts agree that 2024 was the year MA insurers made meaningful progress on the health equity front — delivering on a major policy goal of President Joe Biden.
“While health equity has been a talking point for years, the Biden administration implemented tangible steps that required plans to take action,” observes Jessica Assefa, president and senior consultant with Ameropia Advisors, LLC. A prime example of that is the removal of the reward factor from the Star Ratings program and its replacement with the Health Equity Index (HEI). Starting in 2027, qualifying Parts C and D sponsors will be rewarded if they perform well on the HEI. “This shift rewards plans for actively reducing disparities among disadvantaged populations, creating a real incentive for plans and vendors to focus on underserved communities,” says Assefa.
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