October 12, 2020

Episode 15: Medicare Advantage (MA plans) - a deep dive with Michael Hughes

Dr. Amy Schiffman and Dr. Alex Mohseni interview Michael Hughes, principal at Mitchell-Lowey, LLC, and do a deep dive into Medicare Advantage plans, especially as they relate to supplemental benefits like private duty home care services. We discuss: What is Medicare Advantage MA plans offer supplemental benefits CMS is realizing that SDOH determine health and cost outcomes Who costs the system the most Examples of supplemental benefits include things like home care and pest control How many MA plans are there SSBCI - special supplemental benefits for the chronically ill How does an MA plan measure effectiveness of supplemental benefits How do physicians order supplemental benefits for members VBID model Conversion rate from MA plan to private pay What are the downsides of choosing an MA plan Why MA plans care about the quality of supplemental benefits MA plans as a percentage of total Medicare population by state (Link) Link to Michael Hughes: https://www.linkedin.com/in/michael-hughes-7010221/ Video version: https://www.youtube.com/watch?v=7NrtiqkkHtQ

Also available on Apple Podcasts ↗