Healthcare Financing and Delivery Innovation

Insights

Not Your Typical Bundled Payment Model: Preparing for TEAM

Learn how CMS’ new bundled payment model, TEAM, will impact hospitals and the preparation key to successfully transition to the new program.
Read More Read More
Work

A Look at PACE Growth by the Numbers: States, Organizations, and Enrollment

Our primer on the Program of All-Inclusive Care for the Elderly (PACE) – a capitated health plan that provides comprehensive Medicare and Medicaid covered services to frail, older adults in the community who are eligible for nursing home care – explores the latest enrollment trends and highlights latest opportunities for PACE growth.
Read More Read More
Webinars

The Hospital Discharge Crisis: Defining the Challenge

In the aftermath of the COVID-19 pandemic, hospitals are struggling to find appropriate post-acute care placements for patients. The convergence of clinical workforce shortages, rising patient acuity, and the national mental health crisis has dramatically extended hospital stays, and left patients ready for discharge stranded in hospital beds. Anne Tumlinson, CEO and Founder of ATI Advisory, and Fred Bentley, Managing Director of ATI Advisory’s Post-Acute and Long-Term Care practice, hosted the first in a series of webinars unpacking challenges and solutions to this crisis.
Read More Read More
Webinars

TEAM: CMS Releases the Most Significant Mandatory Bundled Payment Model to Date

ATI Advisory CEO Anne Tumlinson and Brian Fuller, Managing Director of ATI’s Value-Based Care Design and Delivery Practice, presented an overview of the Transforming Episode Accountability Model (TEAM), CMMI’s new mandatory five-year, episode-based alternative payment model. The release of this model comes as part of a broader push to move 100% of Medicare beneficiaries into value-based care models by 2030. The CY 2025 Inpatient Prospective Payment System (IPPS) Proposed Rule outlines a 30-day episode bundled payment model, with five major surgical procedures as initial targets.  
Read More Read More
Work

Access to LTSS-Like Supplemental Benefits Data Brief

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.
Read More Read More
Webinars

Hawaii Advances Medicaid Innovation with Section 1115 Demonstration Submission: Summary of Key Provisions and Insights

Johanna Baraza Cannon and Morgan Craven, Directors in the State Program and Policy Practice at ATI Advisory, presented an overview of Hawaii's Medicaid Section 1115 demonstration renewal process. 
Read More Read More
1 2 3 17