Care Delivery Integration

ATI Advisory in partnership with the Rosalynn Carter Institute for Caregivers (RCI) sought to explore the evidence and needs of dementia caregivers that might inform a Medicare model test related to dementia care. On July 31, 2023, the Center for Medicare and Medicaid Innovation (CMMI) released the Guiding an Improved Dementia Experience (GUIDE) Model that includes explicit support for caregivers and is set to launch in July 2024.

Part 2 in the Health Affairs series co-authored by Allison Rizer focuses on policy opportunities for Medicare-Medicaid integration to benefit dual eligible individuals.

Allison Rizer co-authored this series in Health Affairs focusing on policy opportunities for Medicare-Medicaid integration to benefit dual eligible individuals.

ATI Advisory identifies what sets apart individuals with Long Term Care (LTC) needs from the rest of the Medicare population. This work examines the demographic profiles, care complexity, medications, and medical and pharmacy spending for Medicare beneficiaries receiving LTC in different settings, as well as for Medicare beneficiaries who do not receive LTC.

A total of 5.8 million Medicare beneficiaries ages 65 and older live in seniors housing and nursing homes. Understanding the characteristics and experiences of these individuals, as well as older adults living in private residences, provides context for industry leaders and policymakers working to meet the health and well-being needs of a growing number of older adults.

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.