Leaders from multiple plans also cited unique challenges associated with contracting with the kinds of local and community-based organizations that may be best suited to deliver non-medical supplemental benefits. Following the rule changes, plans are interested in offering services like meal delivery, transportation, and respite care—the types of services that are typically offered by locally organized social service agencies or community-based organizations. However, these types of organizations may have limited experience and capacity to contract with health insurance plans.


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