Resources

Anna Kaltenboeck discusses how the Centers for Medicare and Medicaid Services is preparing for prescription drug pricing negotiation with manufacturers with the Inflation Reduction Act now in place.

Fred Bentley comments on MACPAC's recent report that analyzed nursing facility quality of care and reimbursement rates. “The increased transparency would shine a brighter light on the disparities between the cost of caring for Medicaid residents and reimbursement rates in many states."

“Nearly a quarter of all the plans are offering in-home support services this year.” Tyler Overstreet Cromer quoted in Home Health Care News. The outlet uses ATI Advisory's continued work showing the growth and popularity of supplemental benefits for this article.

Four years into implementation, nearly 40% of Medicare Advantage plans are offering nonmedical supplemental benefits in 2023. This latest report examines why benefits that help members stay in their homes – specifically in-home support services (IHSS), caregiver supports, and social needs benefits – have experienced significant growth and adoption despite the challenges in providing a human-powered service.

ATI Advisory subject matter experts, Allison Rizer and Nils Franco, share data and insights in this articles as part of as part of this Health Affairs' Forefront series. They detail recent enrollment trends in dual eligible programs, the sunsetting of the Medicare-Medicaid Plan (MMP) model, and the changing role of the Medicare-Medicaid Coordination Office (MMCO). Read the full article for their recommendations for several near term approaches to preserve MMP successes.

On February 1, 2023, CMS released the Advance Notice of Methodological Changes for Calendar Year (CY) 2024 for Medicare Advantage (MA) that proposed several changes to the Hierarchical Condition Category (HCC) model.