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

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 

Comparing the Characteristics and Experiences of Medicare Beneficiaries

We conducted original data analysis using the 2016 Medicare Current Beneficiary Survey to compare traditional Medicare beneficiaries with those enrolled in private Medicare Advantage plans.


Analyzing Data To Prepare for Growing Number of High-Need Medicare Beneficiaries 

Creating an Optimal System of Brain Health Care in the United States

We convened more than 40 experts from academia, business, healthcare, nonprofit organizations, and government to identify immediate action areas to accelerate an optimal system of care for brain health.


Convening Experts To Prioritize Immediate Opportunities To Advance an Optimal System of Care

Invention Born of Necessity: The Provider-Led Medicare Advantage Plan

We analyzed one innovative provider’s readiness and ability to form and operate an I-SNP for its residents.


Evaluating an Organization’s Ability To Provide Insurance to Its Residents

Integrated Care in Seniors Housing That Meets the Triple Aim

To understand the impact of integrated care in seniors housing, we compared patient outcomes from residents of an innovative senior housing company to the patient outcomes of a similarly disabled and cognitively impaired Medicare population.


Reducing Hospitalizations by Integrating Health and Housing

Recent Insights

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…

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