Resources

Insights

CY2025 Medicare Advantage Final Rule

Many individuals in the United States access long term services and supports (LTSS) through Medicaid. But for Medicare beneficiaries without Medicaid, LTSS-like supplemental benefits offered by Medicare Advantage (MA) plans can help increase access to LTSS. This ATI Advisory data brief examines whether access to and enrollment in MA plans offering LTSS-like supplemental benefits differs meaningfully by demographic characteristics, including age, gender, race and ethnicity, and geography.
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Work

Access to LTSS-Like Supplemental Benefits Data Brief

Many individuals in the United States access long term services and supports (LTSS) through Medicaid. But for Medicare beneficiaries without Medicaid, LTSS-like supplemental benefits offered by Medicare Advantage (MA) plans can help increase access to LTSS. This ATI Advisory data brief examines whether access to and enrollment in MA plans offering LTSS-like supplemental benefits differs meaningfully by demographic characteristics, including age, gender, race and ethnicity, and geography.
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Work

Opportunities to Improve Quality of Life and Health Outcomes Among People Experiencing Incontinence

ATI analyzes the prevalence of incontinence among dual eligible individuals, and highlights services and products that can help individuals manage their incontinence.
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Webinars

Hawaii Advances Medicaid Innovation with Section 1115 Demonstration Submission: Summary of Key Provisions and Insights

Johanna Baraza Cannon and Morgan Craven, Directors in the State Program and Policy Practice at ATI Advisory, presented an overview of Hawaii's Medicaid Section 1115 demonstration renewal process. 
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Insights

Hawai’i Advances Medicaid Innovation with Proposed Section 1115 Demonstration

ATI sat down with Hawaii’s Medicaid Director, Judy Mohr Peterson, to discuss the ins and outs of their recently submitted Section 1115 Demonstration renewal application. Hawaiʻi is proposing a series of new initiatives, with a focus on addressing health-related social needs (HRSN), promoting access to and continuity of coverage, and supporting populations with complex care needs, including individuals involved in the justice system and those with substance use disorders (SUDs).
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Work

Pathways to Serve “Medicare-Onlys” Outside of PACE

Many Medicare beneficiaries could benefit from a model like Program of All-Inclusive Care for the Elderly (PACE) that offers comprehensive Medicare and Medicaid benefits to frail, older adults who want to remain living in the community. However, many older adults on Medicare do not have Medicaid coverage, making PACE less affordable to them.
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Factors to Consider in Your PACE Feasibility Assessment

Building and operating a PACE program is a significant undertaking. Prospective PACE organizations should conduct diligence in advance of entering into the program. This Tip Sheet offers six factors to consider in determining if PACE is a right fit for your organization and your community. ATI supports PACE program feasibility studies to support PACE growth and diversification. 
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