Resources

Work

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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Data

2020 Seniors Housing Data Book

Long-Term Care Providers Taking Charge in Managed Care
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Work

Long-term Care Providers Taking Charge in Managed Care

LTC provider-led SNPs combine primary care with residential long-term care to reverse the revolving door between nursing homes and assisted living and emergency rooms and inpatient hospitalizations, benefiting residents, families, and Medicare plans.
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Insights

Medicaid-Capitated D-SNPs: An Innovative Path to Medicare-Medicaid Integration

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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Work

A Framework for Post-Acute Care Recovery and Redesign

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.
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Work

SPECIAL SUPPLEMENTAL BENEFITS FOR THE CHRONICALLY ILL (SSBCI) AND NEW PRIMARILY HEALTH RELATED BENEFITS

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
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Work

Integrating Healthcare Services in Senior Living and Nursing Homes

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.
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