Community-Based Care Models Offer Replicable Solutions Enabling Aging in Place

Back to Resources
ATI – Insights
09/10/2026
AUTHOR – ATI Advisory

Rising costs, workforce constraints, and limited affordable long-term care options are leaving many older adults without the support they need to stay in their homes and communities. Community-based care models offer a practical way to help close the gap between what older adults can afford and the care they need to stay at home.

 A joint report from AARP Public Policy Institute and ATI Advisory on what helps community-based care programs outside of Medicaid take root, sustain themselves, and adapt. This resource features a program replicability framework and three in-depth program profiles, with practical lessons for state and local leaders.

Read Report

Some ATI resources are hosted on external sites that may use paywalls or metered access. When possible, we also reference open or publicly available materials so readers can access similar information without a subscription.

Recent Insights

Insights

For MSSP ACOs Serving High Needs Populations, LEAD Offers a Clear Path Forward

LEAD gives MSSP ACOs and health systems with deep value-based care experience a way to serve High Needs beneficiaries on payment terms that align with their acuity and changing care needs. Its benchmarks, risk adjustment, and monthly capitation features respond to structural challenges that established organizations have encountered in other models, aiming to generate lower utilization and total cost of care for High Needs beneficiaries while improving outcomes.
Read More Read More
Insights

Medicare Advantage Is Now a Central Financing Mechanism for End-Stage Renal Disease Care

Nearly six years after Medicare Advantage opened up to people with end-stage renal disease, enrollment has climbed to nearly 280,000 beneficiaries, more than half of all Medicare beneficiaries with ESRD, and almost double what CMS originally projected. ATI Advisory's analysis of six years of Medicare data shows Medicare Advantage has become the primary way ESRD care gets paid for. Nephrologists, dialysis providers, and MA organizations are now negotiating payment rates, building provider networks, and navigating utilization management for a population that used to be financed almost entirely through fee-for-service.
Read More Read More
Insights

CJR-X and the Next Phase of Bundled Payments

Beginning January 2028, CMS will launch a nationwide, mandatory bundled payments model for the first time. The Comprehensive Care for Joint Replacement Expanded (CJR-X) Model, an expansion of the recently concluded Comprehensive Care for Joint Replacement (CJR) Model, will hold more than 2,000 acute care hospitals nationwide accountable for the cost and quality of inpatient and outpatient lower extremity joint replacement (LEJR) episodes. Episodes will span the initial LEJR procedure and all Medicare spending in the 90 days following the procedure, including post-acute care.
Read More Read More
See more Insights
Share
LinkedIn / /