Medicare beneficiaries frequently select suboptimal Medicare Advantage plan products or elect traditional fee-for-service Medicare due to choice paralysis, cognitive impairments, and consumer health insurance illiteracy. Medicare Advantage Chronic Condition Special Needs Plans (C-SNPs) offer an opportunity to tie disease to both plan design and marketing, simplifying consumer choice architecture. This report explores additional refinement in the C-SNP program to help unlock this potential, examining programmatic regulatory requirements, qualifying diseases, and marketing rules with an aim to improving care for multi-morbid Medicare beneficiaries.


Miller, B. J., Zima, S. C., & Wilensky, G. R. (2022). Customized care for complex conditions in Medicare Advantage. AEI Economic Perspectives. https://www.aei.org/wp-content/uploads/2022/08/Customized-Care-for-Comp…