Resources

Work

Opportunities for Improving Access to Palliative Care for Dual Eligible Individuals with Serious Illness

10% of dual eligible individuals report living with a serious illness, according to ATI Advisory’s (ATI) analysis of the 2018-2021 Medicare Current Beneficiary Survey (MCBS) using a narrow definition of serious illness. While this means that 10% of dual eligible individuals can potentially benefit from palliative care, much fewer actually receive such services. This brief highlights opportunities to promote access to palliative care for dual eligible individuals.
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Webinars

TEAM: CMS Releases the Most Significant Mandatory Bundled Payment Model to Date

ATI Advisory CEO Anne Tumlinson and Brian Fuller, Managing Director of ATI’s Value-Based Care Design and Delivery Practice, presented an overview of the Transforming Episode Accountability Model (TEAM), CMMI’s new mandatory five-year, episode-based alternative payment model. The release of this model comes as part of a broader push to move 100% of Medicare beneficiaries into value-based care models by 2030. The CY 2025 Inpatient Prospective Payment System (IPPS) Proposed Rule outlines a 30-day episode bundled payment model, with five major surgical procedures as initial targets.  
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Work

Health Equity Perspectives from Individuals Experiencing LTSS Needs, and their Caregivers, from Historically Marginalized Communities

ATI Advisory’s qualitative research highlights the experiences of individuals with long-term services and supports (LTSS) needs and their caregivers in requesting, receiving, and providing LTSS. Using a community-based participatory framework in partnership with local organizations, ATI conducted six focus groups interviewing individuals and caregivers from key populations across race, ethnicity, language ability, gender identity, sexual orientation, and disability status about their experiences with LTSS. Discussions generated themes around barriers to accessing LTSS, insights on family and professional caregiving across cultures, financial constraints, the value of social community for individuals and their caregivers, and the impacts of equitable and inequitable LTSS. This work was supported by the Robert Wood Johnson Foundation.
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Work

Pharmaceutical Innovation and the Inflation Reduction Act: 2023 in Review 

We’re back for our half-year check-in on pharma R&D, our first since CMS selected the first 10 drugs for Medicare negotiation. In this report, we examine how 19 of the largest biopharma companies approached investment in R&D, M&A, and licensing in 2023.
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Work

Health Equity in Long-Term Services and Supports: Robert Wood Johnson Foundation Project Results and Findings

Approximately 14 million adults in the United States need long-term services and supports (LTSS) to help with their cognitive and functional needs. How many of these individuals have access to LTSS? What are their experiences like? What are the disparities by race and ethnicity, gender, age, and sexual identity?
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Work

Data Spotlight of Older Lesbian, Gay, Bisexual, or Queer (LGBQ+) Individuals: Social Supports and Medicaid Coverage 

ATI Advisory research highlights demographic differences in supportive resources, including social supports and Medicaid coverage, among older LGBQ+ adults. This research also notes differences in supportive resources between older LGBQ+ and non-LGBQ+ individuals. Relationships with children, co-residents in the home, and the prevalence of having a partner in the home are common forms of unpaid in-home support and caregiving for older adults. This data spotlight analyzes the differences in these supports and additionally discusses differences in Medicaid coverage since Medicaid is the primary payer for long-term services and supports. In addition to this data spotlight, a brief highlights recommendations from advocacy groups, community-based organizations, and health plans who serve LGBTQ+ adults.
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Work

Advancing Equity in Caregiving for Older LGBTQ+ Adults: Lessons Learned from Interviews with Advocacy Groups, Community-Based Organizations, and Health Plans

ATI Advisory identifies critical challenges for older LGBTQ+ adults experiencing long-term services and supports (LTSS) needs, including experiences of discrimination, limited social supports and consequent social isolation, and lack of cultural competency by providers of aging services. Interviews with individuals from advocacy groups, community-based organizations, and health plans who serve LGBTQ+ adults inform recommendations to meet these unique needs and challenges. Programmatic and policy recommendations highlighted in this brief include strategies for promoting cultural competency among aging services providers and addressing discrimination by homecare providers or by other residents in facility settings. This brief also discusses opportunities for integrated health systems and health plans seeking to advance equitable care and improve data collection processes. These recommendations embrace diverse approaches to enabling supportive environments during aging for older LGBTQ+ adults.  In addition to this brief, a data spotlight outlines social supports and Medicaid coverage for LGBQ+ individuals,
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