Insights

Insights

CY2025 Medicare Advantage Proposed Rule

On November 6, 2023, CMS released its Contract Year 2025 Medicare Advantage and Part D Proposed Rule [CMS-4205-P]. ATI Advisory prepared a summary of key provisions and insights across D-SNP and dual eligible impacts, supplemental benefits, Part D formularies, network adequacy, agent and broker commissions, and equity-related provisions. The Rule has a heavy focus on beneficiary protections and program transparency.
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Insights

Two Ways CMS Can Meaningfully Improve Medicare Plan Finder for People Who Are Dual Eligible

With support from Arnold Ventures, ATI Advisory identified two near-term opportunities to update the Medicare Plan Finder tool to improve its utility and reduce confusion for individuals who are dual eligible.
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Insights

Heeding the Administrator’s Call: Opportunities to Improve Supplemental Benefit Data

Medicare Advantage (MA) plans are able to offer additional benefits over the benefits all Medicare beneficiaries receive – called supplemental benefits. These supplemental benefits most typically take the form of vision, dental, hearing, and medical transportation services, but the types of benefits offered are evolving rapidly to include things like in-home support services or personal care, food, and help paying utility bills. Improving data available on these supplemental benefits in MA is clearly on the minds of officials at the Centers for Medicare and Medicaid Services (CMS).
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Insights

What Everyone Is Missing About CMS’ Coverage Of Alzheimer’s Drugs

Few drugs have triggered as much controversy and debate as those for Alzheimer’s Disease. So, it should come as no surprise that last week’s update from Centers for Medicare and Medicaid Services (CMS) on its coverage for these treatments would trigger a wide range of responses. Some outlets reported that CMS was broadening its coverage, even as other groups stated that the agency was limiting access. Others argued that the update heralded no change at all.
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Insights

Proposed Changes to Medicare Advantage Utilization Management

On December 14, 2022, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule containing a number of significant policy and technical changes to the Medicare Advantage (MA) and Part D programs for 2024.
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Insights

Where Do We Go From Here? Senior Care Innovators Taking Divergent Paths in a Challenging Post-Covid Environment

Long term care operators face a daunting array of challenges as the U.S. emerges from the pandemic. The workforce shortage has evolved from a near-term disruption to “getting back to normal” to a long-term existential crisis for many providers. As ATI’s work with leading senior care organizations across the country highlights, the right path forward depends on market conditions and the organization’s mission and capabilities.
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