Nursing Home Reforms Proposed by Biden-Harris Administration

ATI – Insights

03/07/2022

AUTHOR – ATI Advisory

At the Intersection of Healthcare’s Complexities.

Successfully navigating healthcare requires taking the right turn. ATI Advisory is at that intersection, helping businesses and policymakers understand the complexities surrounding complex needs populations. We aspire to transform healthcare delivery systems to deliver flexible, individualized care to complex care populations.

Take the Right Turn

Our trusted experts know the nuances at the junctions of:
payers + providers + patients
business + policy
medical + non-medical services
facility + home
Medicare + Medicaid

The difference between taking the wrong turn and the right one comes down to ATI Advisory.

The Time is Now

Now is the time to begin building for what’s next in healthcare. Liability and payer models are shifting. Care delivery systems are being reimagined in innovative ways. Whether you are a public or private entity, ATI’s experts can provide you with critical data and insight to help you see what’s ahead and build pathways to future success.

The issue is complex, it’s politically charged, and we’re dealing with the perfect storm. ATI is the only organization we trust to get this done.

Trade Association

ATI is the source of truth on all things [Medicare Advantage] supplemental benefits.

Federal Policymaker

Our leadership wants to grow into [state] and we need someone who understands the competitive landscape and state policy – so of course, we thought of ATI.

Health Plan

As soon as the [Medicare Advantage] final rule dropped, our members told us we needed to find out what ATI thought.

Recent Insights

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).

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.

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.