Written by Kelly Gooch | January 07, 2019
A recent survey highlights
Medicare Advantage beneficiaries' perceptions of their coverage and whether
they are familiar with CMS' star rating system.
The 2018 survey,
conducted by health action as a service company HealthMine, involved 781
Medicare Advantage beneficiaries with at least one chronic condition.
Eight survey findings:
1. Most beneficiaries
said their plan does not know when their personal health is improving or
getting worse. Only 16 percent of respondents said their plan does know these
things.
2. Nearly half of
respondents (46 percent) said their plan never communicates with them about
their chronic condition, and another 19 percent said their plan only
communicates with them once annually.
3. Although 47 percent
of respondents said they prefer digital communication with their plan, only 34
percent said they actually receive communication digitally.
4. Most respondents
(60 percent) said their plan does not incentivize them to make efforts to
improve or better manage their health (e.g. annual physician visit), and 75
percent said that incentives that are provided are not personalized.
5. Rather, the
recommendations, such as seasonal flu shots (39 percent) and age and gender
recommendations (33 percent), are directed at a general audience. At the same
time, only 15 percent of respondents said they received recommendations
concerning their chronic condition.
6. The study also found beneficiaries often don't follow the recommendations. Only 14 percent of beneficiaries always follow recommendations from their health plans, while 54 percent sometimes do and 32 percent said they never do.
6. The study also found beneficiaries often don't follow the recommendations. Only 14 percent of beneficiaries always follow recommendations from their health plans, while 54 percent sometimes do and 32 percent said they never do.
7. Forty-six percent
of respondents said they did not know if their plan offers telehealth, while 37
percent said their plan does not offer online and phone-based telehealth
services.
8. Only 22 percent of
respondents said they were familiar with CMS' star rating system, which
measures a plan's quality and performance. Of that 22 percent, 51 percent used
the quality grading system to help them choose a plan. Most of the respondents
who were not familiar with the system said they would use the ratings once they
had all the information.
Read more about the
survey results here.
Editor's note: This article was updated Jan. 8 at 2:05 p.m. CT.
https://www.beckershospitalreview.com/payer-issues/most-medicare-advantage-members-don-t-know-how-cms-rates-their-plan-and-5-other-survey-findings.html?utm_source=Sailthru&utm_medium=email&utm_campaign=Issue:%202019-01-08%20Healthcare%20Dive%20%5Bissue:18815%5D&utm_term=Healthcare%20Dive
Editor's note: This article was updated Jan. 8 at 2:05 p.m. CT.
No comments:
Post a Comment