On April 29, 2022, CMS released its Medicare Advantage and Part D final rule: Medicare Program; Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs [CMS-4192-F].
Medicare-Medicaid integration is critically important for the millions of dual eligible individuals served by both programs. This Final Rule takes important steps in improving integration.
ATI Advisory prepared the below overview to provide stakeholders with a summary and insights into the key provisions impacting dual eligible beneficiaries. We also included key commentary and insights from the Rule that indicate potential future rulemaking and market impacts.
For examples of other public-facing ATI work related to dual eligible individuals, see below. For more information about how ATI can help you navigate research, policy, operational, or strategic issues related to dual eligible individuals, please contact us at info@atiadvisory.com.
For other ATI work related to dual eligible beneficiaries, see below.
- Advancing Medicare-Medicaid Integration Through Medicaid Programs: A Policy Roadmap
- Enhancing Medicare-Medicaid Integration: Bringing Elements of the FAI into DSNPs
- Fixing the FIDE-SNP – Redefining “Fully Integrated”
- HCBS Spending Plans and the Untapped Potential of DSNPs
- Access to Medicare-Medicaid Integrated Products
- Dual Eligible Beneficiaries Receive Better Access to Care and Cost Protections when Enrolled in Medicare Advantage
- HCBS – Just One Piece of the Puzzle
- Is Too Much Choice a Bad Thing?
- A Brief Overview of Key Beneficiary Protections in Medicare-Medicaid Integrated Programs
- Advancing the Policy Environment to Address the Unique Needs of Partial Dual Eligible Beneficiaries
- Transportation Access, Dual Eligibility, and COVID-19
- Left Behind in the Era of Internet: Yet Another Challenge Facing Dual Eligible Beneficiaries
- Making Sense of Medicare-Medicaid Integration Models
- Medicaid-Capitated DSNPs: An Innovative Path to Medicare-Medicaid Integration
- State Approaches Will Shape the Successes (and Failures) of New Supplemental Benefits in DSNPs