Work

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Ensuring Equity and Fairness in Medicare Advantage Quality Measurement

Current Health Outcomes Survey (HOS) questions and administration processes do not reflect an equitable and fair approach to Medicare Advantage (MA) quality measurement. We highlight opportunities to improve the HOS for equitable quality measurement within the MA population, with a focus on Special Needs Plans (SNPs).
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Highlights from the 2022 Seniors Housing Databook

5.8 million Medicare beneficiaries ages 65 and older live in seniors housing and nursing homes. Understanding the characteristics and experiences of these individuals, as well as older adults living in private residences, provides context for industry leaders and policymakers working to meet the health and well-being needs of a growing number of older adults.
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Advancing Non-Medical Supplemental Benefits in Medicare Advantage

Since 2019, ATI Advisory and the Long-Term Quality Alliance, with support from The SCAN Foundation, have led national efforts to advance person-centered, non-medical supplemental benefits in Medicare Advantage.
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Approaches to Meet Behavioral Health Needs in Medicare Advantage

Ensuring the healthcare system is prepared to meet the behavioral health needs of Medicare beneficiaries is critical as research suggests psychological distress increased among older adults and low-income groups during the early days of the pandemic.
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What’s Next? Retaining the Successes of the Medicare-Medicaid Plan (MMP) Model

As CMS sunsets the MMP model, it will be important to preserve lessons that benefited stakeholders. CMS has authority to maintain MMP model attributes, and should preserve those that are in statute through a refined, innovative financial model.
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Innovation Spotlight: Linking Medicare Advantage Members to In-Home Support Benefits

MA plans face multiple roadblocks when attempting to bring innovative benefits to market. Third-party vendors can help to manage some of these challenges and offer a more streamlined solution.
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