Healthcare Financing and Delivery Innovation

Anne Tumlinson joined healthcare leaders from Alignment Health, SCAN, and Dina about the importance of Medicare Advantage plans to ensure members understand available non-medical benefits. Making the experience painless is essential to attracting and retaining members – and improving CAHPS and Star Ratings. This session is packed with successful strategies and best practices plans can implement to improve member experience and ensure members receive the care they need. Panelists discuss humanizing the navigation process; creating a culture of customer service, streamlining technology to benefit navigation, and leveraging home-centered care.

Anne Tumlinson foresees a benefit-offering slowdown in Medicare Advantage with a caveat in a discussion with Home Health Care News,

Anna Kaltenboeck writes in Bloomberg Law that Protecting Health Care for All Patients Act legislation would complicate efforts to lower drug prices in the U.S. and undermine Medicare’s new negotiating authority if the bill becomes law.

Anna Kaltenboeck discusses how the Centers for Medicare and Medicaid Services is preparing for prescription drug pricing negotiation with manufacturers with the Inflation Reduction Act now in place.

Fred Bentley comments on MACPAC's recent report that analyzed nursing facility quality of care and reimbursement rates. “The increased transparency would shine a brighter light on the disparities between the cost of caring for Medicaid residents and reimbursement rates in many states."

ATI Advisory subject matter experts, Allison Rizer and Nils Franco, share data and insights in this articles as part of as part of this Health Affairs' Forefront series. They detail recent enrollment trends in dual eligible programs, the sunsetting of the Medicare-Medicaid Plan (MMP) model, and the changing role of the Medicare-Medicaid Coordination Office (MMCO). Read the full article for their recommendations for several near term approaches to preserve MMP successes.