As a part of the California Department of Aging’s LTSS Financing and Affordability Initiative, ATI Advisory provided analytics and technical support — supported by actuarial analysis by Milliman — to assess whether a Medicare-based model could deliver targeted HCBS in a way that improves outcomes and reduces or does not increase Medicare costs in the longer term. The target population includes Medicare beneficiaries who are at increased risk of hospitalization, institutionalization, financial strain, and caregiver burnout due to the lack of structured, sustainable support options to address their functional needs.
The resulting Medicare Advancing Home and Community Care (MAHCC) model demonstrates the feasibility of designing a targeted, community-based Medicare intervention that can support individuals’ functional needs in a cost-effective way.
Milliman’s actuarial analysis is available for review here.