RISE Radio

Episode 32: Flex cards and SSBCI changes under the 2027 MA Final Rule


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In this episode of RISE Radio, we share an excerpt from the April 29 RISE webinar featuring Ana Handshuh, principal at CAT5 Strategies, and Melissa Smith, founder of Newton Smith Group, as they walk through the 2027 Medicare Advantage Final Rule.

This episode focuses on what Medicare Advantage plans need to know about flex card and Special Supplemental Benefits for the Chronically Ill (SSBCI) changes, including: 

• Codified flex card and debit card disclosures for benefits, conditions, and limitations
• Alternate pathways when members cannot use the card due to technical or non-technical barriers
• SSBCI determinations that require both chronic illness criteria and benefit-level health impact rationale
• Publicly posted eligibility criteria and the operational labor required ahead of January 1, 2027

To listen to the entire 75-minute webinar, including their deep dive into the Star ratings redesign, click here or visit risehealth.org to access our webinar library.

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RISE RadioBy Ilene MacDonald

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