Episode description

Medicare Advantage (MA) plans are set to change with new Centers for Medicare and Medicaid Services (CMS) regulations and increased competition. This event explores the upcoming regulatory changes, including the annual review of Special Supplemental Benefits for the Chronically Ill (SSBCI), which will assess how these benefits impact member health. Starting in 2026, Medicare Advantage Organizations (MAOs) will also be required to notify members about unused supplemental benefits mid-year, improving health equity and ensuring enrollees are aware of available resources.

Hear our conversation with Amy Schiffman, CEO of AgeTech DC and CMO of Heal Pros, and Doron Porat, co-founder and CEO of ActiveAging, about strategies for enhancing member outcomes and satisfaction, with a focus on addressing social determinants of health such as transportation, meals and housing support. Learn how MA plans can improve Star Ratings, boost retention and close care gaps by offering targeted, effective benefits.

The event also showcases tools like ActiveAging’s ActiveAgent platform, an AI-driven tool that ensures its members are fully utilizing supplemental benefits, driving engagement, satisfaction, retention and Star Ratings. Attendees gained key insights to remain competitive, meet CMS requirements and position their plans for long-term financial sustainability.

This conversation was moderated by John Achoukian, executive in residence at MATTER.

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