OUR WORK

FEATURED CASE STUDY

Advancing Non-Medical Supplemental Benefits in Medicare Advantage

Advancing Non-Medical Supplemental Benefits in Medicare Advantage

Our WorkAdvancing Non-Medical Supplemental Benefits in Medicare Advantage Many non-medical supplemental benefits are available in Medicare Advantage (MA) for the first time in 2019 and 2020. These benefits provide an unprecedented opportunity to deliver valuable...

Meeting Medicare Beneficiary Needs During COVID-19

Meeting Medicare Beneficiary Needs During COVID-19

Our WorkMeeting medicare beneficiary needs during covid-19 Using Medicare Advantage supplemental benefits to respond to the pandemic THE ISSUE The COVID-19 pandemic is placing an extraordinary toll on the healthcare system and restricting Medicare beneficiaries to...

An Idea That’s Growing

An Idea That’s Growing

Our WorkAn Idea That's Growing Long-Term Care Providers Taking Charge in Managed Care THE ISSUE While traditional insurance companies sponsor most Medicare Advantage (MA) plans, a growing number of hospitals, health systems, and physician groups also offer this...

POST-ACUTE PREPAREDNESS IN A COVID-19 WORLD

POST-ACUTE PREPAREDNESS IN A COVID-19 WORLD

Our WorkPOST-ACUTE PREPAREDNESS IN A COVID-19 WORLD A FRAMEWORK FOR POST-ACUTE CARE RECOVERY AND REDESIGN THE ISSUE The supply of care provided after a hospital stay – commonly referred to as “post-acute care” – has also been disrupted by the pandemic. Under normal...

HEALTHCARE SERVICES IN SENIOR LIVING AND NURSING HOMES

HEALTHCARE SERVICES IN SENIOR LIVING AND NURSING HOMES

Our WorkHEALTHCARE SERVICES IN SENIOR LIVING AND NURSING HOMES THE CASE FOR INTEGRATION   THE ISSUE Residents of senior living and nursing home facilities have substantial health needs and use a great deal of high-cost healthcare services. At the same time, many...

A TURNING POINT IN MEDICARE POLICY

A TURNING POINT IN MEDICARE POLICY

Our WorkA Turning Point in Medicare Policy Guiding Principles for New Flexibility Under Special Supplemental Benefits for the Chronically Ill THE ISSUE The Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act, signed into law on...

INVENTION BORN OF NECESSITY: THE PROVIDER-LED MEDICARE ADVANTAGE PLAN

Our WorkINVENTION BORN OF NECESSITY: THE PROVIDER-LED MEDICARE ADVANTAGE PLAN EVALUATING AN ORGANIZATION’S ABILITY TO PROVIDE INSURANCE TO ITS RESIDENTS   THE ISSUE In today’s changing environment, post-acute and long-term care providers face big challenges—increasing...

COMPARING THE CHARACTERISTICS AND EXPERIENCES OF MEDICARE BENEFICIARIES

COMPARING THE CHARACTERISTICS AND EXPERIENCES OF MEDICARE BENEFICIARIES

Our WorkCOMPARING THE CHARACTERISTICS AND EXPERIENCES OF MEDICARE BENEFICIARIES ANALYZING DATA TO PREPARE FOR GROWING NUMBER OF HIGH-NEED MEDICARE BENEFICIARIES THE ISSUE Starting in 2020, the United States will experience extraordinary growth in the 75+ population....

THE HOT SPOT FOR MEDICARE SPENDING

THE HOT SPOT FOR MEDICARE SPENDING

Our WorkFUNCTIONAL IMPAIRMENT A KEY FACTOR IN HIGH MEDICAL SPENDING IDENTIFYING THE KEY SPENDING DRIVERS IN MEDICARE POPULATION THE ISSUE The discourse on major drivers of high medical spending for American seniors often focuses on the role of chronic conditions but...

BIPARTISAN CONSENSUS IN LONG-TERM CARE FINANCING

BIPARTISAN CONSENSUS IN LONG-TERM CARE FINANCING

Our WorkBIPARTISAN CONSENSUS IN LONG-TERM CARE FINANCING EMERGING CONSENSUS ON A CHALLENGING PUBLIC POLICY PROBLEM THE ISSUE Half of all Americans turning 65 today will one day find themselves needing a high level of help with basic daily activities, such as walking,...

KEY COMPONENTS FOR SUCCESSFUL LTSS INTEGRATION

KEY COMPONENTS FOR SUCCESSFUL LTSS INTEGRATION

Our WorkKEY COMPONENTS FOR SUCCESSFUL LTSS INTEGRATION DEVELOPING THE BUSINESS CASE FOR LTSS INTEGRATION THE ISSUE A small share of the population with the most complex care needs accounts for a large portion of all healthcare spending. Healthcare payment and delivery...

REDUCING HOSPITALIZATIONS BY INTEGRATING HEALTH AND HOUSING

REDUCING HOSPITALIZATIONS BY INTEGRATING HEALTH AND HOUSING

Our WorkREDUCING HOSPITALIZATIONS BY INTEGRATING HEALTH AND HOUSING QUANTIFYING THE VALUE OF HEALTHCARE INVESTMENTS BY SENIOR HOUSING OPERATORS THE ISSUE Over the next 15 years, 80 percent of the United States population will experience one or more chronic conditions,...

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