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Insights

CY2025 Medicare Advantage Final Rule

Many individuals in the United States access long term services and supports (LTSS) through Medicaid. But for Medicare beneficiaries without Medicaid, LTSS-like supplemental benefits offered by Medicare Advantage (MA) plans can help increase access to LTSS. This ATI Advisory data brief examines whether access to and enrollment in MA plans offering LTSS-like supplemental benefits differs meaningfully by demographic characteristics, including age, gender, race and ethnicity, and geography.
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Insights

Left Behind in the Era of Internet: Yet Another Challenge Facing Dual Eligible Beneficiaries

The population most vulnerable to negative outcomes associated with COVID-19, individuals dually eligible for Medicare and Medicaid (“dual eligibles”), may be the least likely to access telehealth...
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Insights

Making Sense of Medicare-Medicaid Integration Models

Most of us agree: there is value in Medicare-Medicaid integration. But how well do you understand the programs that aim to accomplish integration?
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Work

Will Financial Challenges in the Long-Term Care Industry Shift Costs to Policyholders and Medicaid?

Activity in both public and private sectors has revealed concerted movement toward establishing a long-term care model that is accessible to consumers and sustainable for state Medicaid funds.
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Work

Using Medicare Advantage Supplemental Benefits to Respond to the Pandemic

MA plans were allowed to make midyear supplemental benefits changes to address beneficiaries’ needs during the pandemic. Early lessons plan experiences suggest supplemental benefits can help meet member needs and enable home-based 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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