A research and advisory services firm changing how businesses, communities, and public programs serve older adults
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.
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.
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.
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.
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.
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.
ATI Advisory and Arnold Ventures share thoughts on opportunities for CMS to use Medicaid authority to advance integration for dual eligible individuals.
ATI’s Allison Rizer, along with Arnold Ventures’ Amy Abdnor and Arielle Mir, share their thoughts on the CY2023 Medicare Advantage Final Rule, and its unprecedented focus on integration.
ATI Advisory prepared the following overview to provide stakeholders with a summary, and insights, into the key provisions impacting dual eligible beneficiaries.
ATI partnered with Health Care Cost Institute and Integrated Care Solutions to analyze post-acute care utilization trends among Medicare Advantage and FFS beneficiaries in a recent Health Affairs blog.