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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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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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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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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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Work

A Turning Point in Medicare Policy

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.
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Insights

State Approaches Will Shape the Successes (and Failures) of New Supplemental Benefits in D-SNPs

In 2019, Medicare suddenly became more than the acute/post-acute, medical program it has been for more than...
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Insights

Post-Acute Care Providers and COVID-19

The COVID-19 pandemic will impose unprecedented stresses on our Nation’s hospitals, whose capacity falls well short of the projected demand for beds. As one option to expand capacity...
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