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Choosing Medicare Advantage Plans Versus Traditional Fee-for-Service

Is This Change the Tipping Point?

Powell, Suzanne K., RN, MBA, CCM, CPHQ

doi: 10.1097/NCM.0000000000000338
Departments: Editorial

Beginning in 2019, the Centers for Medicare & Medicaid Services is expanding the definition of “primarily health-related.” Under the new definition, Medicare Advantage Plans allow beneficiaries supplemental benefits if they compensate for physical impairments, diminish the impact of injuries or health conditions, and/or reduce avoidable emergency department utilization. At the discretion of the plan, this could expand the scope of permitted services to include things such as nonskilled in-home workers, portable wheelchair ramps, and other assistive devices.

The editor reports no conflicts of interest.

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