INSIGHTS

FEATURED INSIGHT

LTC Provider-Led I-SNPs Increase by 28% in Plan Year 2021

While traditional insurance companies sponsor most Medicare Advantage (MA) plans, a growing number of long-term care (LTC) providers—nursing and assisted living facilities—are forming health plans, using special needs plan (SNP) authority under the MA program to focus...

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LTC Provider-Led I-SNPs Increase by 28% in Plan Year 2021

LTC Provider-Led I-SNPs Increase by 28% in Plan Year 2021

While traditional insurance companies sponsor most Medicare Advantage (MA) plans, a growing number of long-term care (LTC) providers—nursing and assisted living facilities—are forming health plans, using special needs plan (SNP) authority under the MA program to focus...

Transportation Access, Dual Eligibility, and COVID-19

Transportation Access, Dual Eligibility, and COVID-19

ATI Contributor: Allison Rizer  The COVID-19 public health emergency continues to accentuate racially- and income-based healthcare disparities in our country. And individuals dually eligible for Medicare and Medicaid (“dual eligibles”) are at the center of it all....

Making Sense of Medicare-Medicaid Integration Models

Making Sense of Medicare-Medicaid Integration Models

ATI Contributor: Allison Rizer  Most of us agree: there is value in Medicare-Medicaid integration. But how well do you understand the programs that aim to accomplish integration? I presented on this topic to a group of providers recently and someone bravely mentioned...

Post-Acute Care Providers and COVID-19

Post-Acute Care Providers and COVID-19

The COVID-19 pandemic will impose unprecedented stresses on our Nation’s hospitals, whose capacity falls well short of the projected demand for beds. As one option to expand capacity, public health officials should consider the possible contribution of post-acute...

Telehealth and COVID-19

Telehealth and COVID-19

ATI Contributor: Allison Rizer Expanding access to telehealth is a top strategy to prevent avoidable hospitalizations and increase the capacity of our health system during the current crisis we are experiencing. This is particularly important for the frail elderly...

CHRONIC Care Act Advances the Business Case for Innovation

CHRONIC Care Act Advances the Business Case for Innovation

In February 2018, the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act (CCA) was passed by Congress and signed by President Trump, making significant policy changes to advance the goals of integrated, person-centered care for...

The Need for Financing Solutions

The Need for Financing Solutions

Our chances are 50/50 that in our old age, we’ll need someone else’s help with basic activities of daily life—like bathing, dressing, eating, getting out of bed. Many families are caught off guard when it happens. Medicare doesn’t cover the long-term,...

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