Sachin H. Jain, President and CEO of SCAN Group and Health Plan, shared a post on LinkedIn:
“Medicare Advantage plans (and by extension, the federal government) invest billions annually in broker commissions – ranging from $428/enrolee in Puerto Rico to $780/enrolee in California for new enrollments, with renewal payments up to ~$390 per member per year.
But these payments are untethered to plan quality or outcomes. As a result, brokers and agents may sometimes gravitate toward well-marketed plans that make for an easy sale rather than those delivering real value – at significant cost to taxpayers and patients.
What if star ratings were made even more meaningful by tying maximum broker commissions to star ratings? I explore this idea in a new Health Affairs forefront piece.
I welcome your thoughts – particularly from brokers, plan executives, and policymakers – on the feasibility of performance-tied broker models.
How might we operationalize changes to broker commission structures in a way that promotes quality, affordability, and equity, and encourages them to enroll beneficiaries into higher quality plans?”
More posts featuring Sachin H. Jain.