Four years into implementation, nearly 40% of Medicare Advantage plans are offering nonmedical supplemental benefits in 2023. This latest report examines why benefits that help members stay in their homes – specifically in-home support services (IHSS), caregiver supports, and social needs benefits – have experienced significant growth and adoption despite the challenges in providing a human-powered service.
This latest report includes extensive data on these three benefits as well as recommendations for plans, providers, and policymakers to support more Medicare beneficiaries in having access to benefits that can meaningfully meet their needs and are delivered in alignment with the Guiding Principles.
Recent Work
Characteristics of Medicare Fee-for-Service Beneficiaries and Providers Impacted by Proposed CY2024 HCC Model
On February 1, 2023, CMS released the Advance Notice of Methodological Changes for Calendar Year (CY) 2024 for Medicare Advantage (MA) that proposed several changes to the Hierarchical Condition Category (HCC) model.
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Medicare Advantage Beneficiaries Spend Less on Health Care Premiums and Out-of-Pocket Costs than Fee-For-Service Beneficiaries
An ATI Advisory analysis commissioned by Better Medicare Alliance found that Medicare Advantage beneficiaries report saving more than $2,400 annually on out-of-pocket costs and premiums compared to Fee-for-Service (FFS) Medicare beneficiaries.
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Ensuring Timely Hospital Discharge and Access to Appropriate Services & Supports for Individuals with Complex Needs – A Policy Roadmap
In response to Congress’ Request for Information to improve experiences for dual eligible individuals, ATI Advisory suggests key elements that would advance programmatic Medicare-Medicaid integration.
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