LTSS

Work

Pathways to Serve “Medicare-Onlys” Outside of PACE

Many Medicare beneficiaries could benefit from a model like Program of All-Inclusive Care for the Elderly (PACE) that offers comprehensive Medicare and Medicaid benefits to frail, older adults who want to remain living in the community. However, many older adults on Medicare do not have Medicaid coverage, making PACE less affordable to them.
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Work

Factors to Consider in Your PACE Feasibility Assessment

Building and operating a PACE program is a significant undertaking. Prospective PACE organizations should conduct diligence in advance of entering into the program. This Tip Sheet offers six factors to consider in determining if PACE is a right fit for your organization and your community. ATI supports PACE program feasibility studies to support PACE growth and diversification. 
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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.
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Webinars

The New Healthcare Agenda for CCRCs & Life Plan Communities 

Fred Bentley, Managing Director of ATI Advisory’s Post-Acute/Long-Term Care & Senior Living Practice, moderated a discussion on the healthcare opportunities and challenges facing continuing care retirement communities (CCRCs) during the webinar, “The New Healthcare Agenda for CCRCs & Life Plan Communities.” Panelists present were Phil Chuang, Senior Vice President of Healthcare Services at HumanGood; Nicole Fallon, Vice President of Integrated Services & Managed Care at LeadingAge; and Ted Goins, President and CEO at Lutheran Services Carolinas.
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Work

Opportunities to Advance Nursing Facility Quality of Care Through Medicare-Medicaid Integration 

This issue brief explores the attributes of a potential Medicare-Medicaid integrated model focused on ensuring high quality and high value care for dual eligible long-stay nursing facility residents. We identify policy opportunities for CMS and states to consider to facilitate a Medicare-Medicaid model in nursing facilities, including increasing payment transparency, promoting alignment between Medicare and Medicaid quality measures, and requiring that a percentage of plan payment go towards value-based contracts with nursing facilities. Taken together, these model elements could meaningfully improve experiences for dual eligible individuals living in nursing facilities, and for their families.
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Work

Disparities in LTSS Needs and Supportive Resources at Age 55, and Outcome Disparities During the Next Decade

Our research highlights disparities and differences in the prevalence of long-term services and supports (LTSS) needs and related resources among U.S. adults aged 55 and living in the community. We examine private finances, insurance coverage, and social supports, as well as long-term health, LTSS and financial outcomes over the next decade. Disparities and differences occurred along racial and ethnic, gender, and geographic lines. This report analyzes data from the University of Michigan Health and Retirement Study (HRS).
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