A research and advisory services firm changing how businesses, communities, and public programs serve older adults


What We Do

We help organizations transform the delivery of healthcare and aging services for the nation’s highest need older adults.

Why The Time Is Right

Policymakers are shifting liability for health and long-term care spending to providers and insurers. Local delivery systems are integrating care, breaking down traditional care silos, and building new partnerships to manage the needs of high cost populations.

How We Do It

We stand by research and data as the foundation of quality and believe that collaboration with our clients inspires new ideas.

Recent Work

An Idea That’s Growing

We studied three long-term care (LTC) provider-led Medicare Advantage special needs plans to identify success factors and challenges. We organized our findings into a six-component framework for successful operation of an LTC provider-led I-SNP, highlight policy issues and challenges, and recommend critical regulatory and legal flexibilities.


Long-Term Care Providers Taking Charge in Managed Care

Post-Acute Care Preparedness in a COVID-19 World

ATI Advisory, William Altman, Howard Gleckman, and David Grabowski, PhD, recommend a four-stage, locally oriented approach to achieving optimal, system-wide resource allocation across a region’s post-acute service settings and providers over time. This framework is available to support federal, state, and local public health planning and implementation.


A Framework for Post-Acute Care Recovery and Redesign

Special Supplemental Benefits for the Chronically Ill (SSBCI) and New Primarily Health Related Benefits

We analyzed the Medicare Advantage Plan Benefit Package (PBP) files to assess how many plans are offering supplemental benefits under new authority provided in the CHRONIC Care Act and 2018 guidance from CMS. We also provide information about where these benefits are available, which plans are offering them, and how many people are enrolled in plans offering them.


Medicare Advantage SSBCI and New Primarily Health-Related Supplemental Benefits Landscape

Healthcare Services in Senior Living and Nursing Homes

We analyzed the average income, insurance coverage arrangements, health status, and healthcare utilization of seniors in different residential settings: traditional private housing, retirement communities, independent living, assisted living, and nursing homes.


The Case for Integrating Healthcare Services into Senior Living and Nursing Homes

A Turning Point in Medicare Policy

Together with The SCAN Foundation and The Long-Term Quality Alliance, we convened a working group of national experts on Medicare Advantage and long-term services and supports to develop principles to guide implementation and successful adoption of Special Supplemental Benefits for the Chronically Ill.


Guiding Principles for New Flexibility Under Special Supplemental Benefits for the Chronically Ill 

Recent Insights

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