LTSS

Community-dwelling Medicare beneficiaries who are Black and/or Latino/a are more likely than white beneficiaries to report difficulty managing activities of daily living, according to a databook released by ATI Advisory (ATI) with support from the Robert Wood Johnson Foundation (RWJF). Activities of daily living include dressing, bathing, walking across the room, transferring in and out of bed or chair, using the toilet, and eating.

Beneficiaries who are Black or Latino/a are more likely than white beneficiaries to report difficulty with activities of daily living (ADLs) and other conditions that can negatively impact their health. Understanding the experiences of individuals reporting difficulty with ADLs across race and ethnicity can help policymakers develop strategies to address inequities. This databook, supported by the Robert Wood Johnson Foundation, conveys research findings on the racial and ethnic disparities among this population across social determinants of health, natural community supports, and health care experiences.

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.

ATI Advisory (ATI) announces new capabilities to support growth in the Program of All-Inclusive Care for the Elderly (PACE). The National PACE Association (NPA) has added ATI Advisory to its list of approved Technical Assistance Centers (TACs) who offer full capabilities to guide and assist organizations developing and expanding PACE programs.

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.