State Resource Center

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02/20/2024
AUTHOR – ATI Advisory

ATI Advisory helps states advance health and human services policies and programs to better serve their residents. We guide states through:

  • Medicaid waiver redesign
  • Program reform and redesign including 1115 demonstrations
  • State Medicaid Agency Contract (SMAC) development
  • Market and program feasibility
  • Process and infrastructure growth and management
  • Operational effectiveness and improvement
  • Leveraging purchasing power

We provide technical assistance, project management, data analysis, stakeholder engagement, and policy and strategy development.

ATI Advisory State experts:

ATI Advisory understands states. This State Resource Center includes tip sheets and other resources informed by our work with states. In the coming months, we will expand the tools and information available through the State Resource Center, adding new topics, data, and insights. Check back regularly.

Reach out to our state experts to learn more about ATI Advisory’s State Resource Center, and how we can support your state’s needs.


Tip Sheets on State Approaches to Medicare-Medicaid Integration


Exclusively Aligned Enrollment Approaches and Considerations

Contract Organizational Structures
Following the Transition of the MMP

Enrollment Policy Considerations
Following the Transition of the MMP

Bid and Benefit Design Considerations
Following the Transition of the MMP

Network Adequacy Considerations
Following the Transition of the MMP


Other State Resources


Supplemental Benefits Offered by D-SNPs in 2024

What Medicaid Officials Need to Know About Medicare Advantage Supplemental Benefits

Understanding the Medicare Only Population and Opportunities to Address Unmet Needs

Leveraging Section 1115 Demonstrations: Designated State Health Programs (DSHPs)

Maximizing the Capacity of SHIPs to Counsel Dual Eligible Individuals

Key Programs Serving Dual Eligible Individuals

State Approaches to Increase Home and Community-Based Service (HCBS) Provider Capacity


Federal Insights


MACPAC January 2024 Meeting Insights: ATI’s Take

MACPAC December 2023 Meeting Insights: ATI’s Take

Recent Work

Work

Advancing Nonmedical Supplemental Benefits in Medicare Advantage

Since 2019, ATI Advisory and the Long-Term Quality Alliance, with support from The SCAN Foundation, have led national efforts to advance person-centered, non-medical supplemental benefits in Medicare Advantage.
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Work

An Evaluation Framework for Assessing Nonmedical Supplemental Benefits in Medicare Advantage

After five years of growth of nonmedical supplemental benefits, there are significant gaps in our knowledge and the data around these benefits, especially from the perspectives of Medicare beneficiaries. Action must be taken to close data gaps so that policymakers have the information necessary to assess and, if needed, refine these benefits to align with their original intent to support the needs of individuals with complex chronic conditions. ATI Advisory and Long-Term Quality Alliance, with support from the SCAN Foundation, created the Evaluation Framework to chart a path for multiple stakeholders – including plans, policymakers, and researchers – to provide timely insights on Medicare Advantage enrollee needs, understanding, access, and experience of benefits; to enhance plan capabilities to collect and use data to improve benefit offerings; and to build the evidence base on nonmedical benefits’ effects.
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Work

Opportunities to Advance Nursing Facility Quality of Care Through Medicare-Medicaid Integration 

This issue brief explores the attributes of a potential Medicare-Medicaid integrated model focused on ensuring high quality and high value care for dual eligible long-stay nursing facility residents. We identify policy opportunities for CMS and states to consider to facilitate a Medicare-Medicaid model in nursing facilities, including increasing payment transparency, promoting alignment between Medicare and Medicaid quality measures, and requiring that a percentage of plan payment go towards value-based contracts with nursing facilities. Taken together, these model elements could meaningfully improve experiences for dual eligible individuals living in nursing facilities, and for their families.
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