LTSS

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.

On February 1, 2023, CMS released the Advance Notice of Methodological Changes for Calendar Year (CY) 2024 for Medicare Advantage (MA) that proposed several changes to the Hierarchical Condition Category (HCC) model.

Forbes recently picked up work created by ATI Advisory to support the assertion of a column on the value of offering beneficiaries supplemental benefits.

Fred Bentley comments on the Centers for Medicare and Medicaid Services' preliminary analysis on waiver use and direct admits to SNFs in Skilled Nursing News.

Fred Bentley quoted in Skilled Nursing News about skilled nursing facilities and home health now that pandemic "hospitalization rates, actual infection rates, mortality rates have all, thankfully, plummeted.”

The Medicare Health Outcomes Survey (HOS) aims to gather meaningful self-reported data from Medicare Advantage (MA) beneficiaries to measure health plan quality performance. As Congress and CMS seek to advance health equity and to better understand and quantify the quality of care received by Medicare beneficiaries, this report outlines recommendations to address the shortcomings of the HOS and modernize it to better reflect and understand the changing Medicare population.