Work

Normally, post-acute care providers relieve capacity and reduce costs in inpatient hospital settings by serving half of all Medicare patients discharged. The role of these providers during current hospital capacity constraints, is in tremendous flux.

MEDICARE ADVANTAGE SSBCI AND NEW PRIMARILY HEALTH-RELATED SUPPLEMENTAL BENEFITS LANDSCAPE THE ISSUE Medicare Advantage plans can now offer a wide range of benefits to address the needs of the aging population, through newly expanded supplemental benefits. This expansion gives plans more flexibility to meet member needs for non-medical supports and services and to address social ... SPECIAL SUPPLEMENTAL BENEFITS FOR THE CHRONICALLY ILL (SSBCI) AND NEW PRIMARILY HEALTH RELATED BENEFITS

Senior living and nursing home facilities create value to by supporting residents with complex health needs. Forward-thinking operators are unlocking this value to strengthen the care of residents and improve financial outcomes.

Non-primarily health benefits are now available through Medicare Advantage programs. With support from partners, we developed principles to guide stakeholders in developing, offering, delivering, and using these new benefits.

FUNCTIONAL IMPAIRMENT A KEY FACTOR IN HIGH MEDICAL SPENDING IDENTIFYING THE KEY SPENDING DRIVERS IN MEDICARE POPULATION THE ISSUE The discourse on major drivers of high medical spending for American seniors often focuses on the role of chronic conditions but overlooks a more significant factor: functional impairment (FI). Seniors with FI require assistance with the ... THE HOT SPOT FOR MEDICARE SPENDING