Medicare and Medicaid Program Design

On November 6, 2023, CMS released its Contract Year 2025 Medicare Advantage and Part D Proposed Rule [CMS-4205-P]. ATI Advisory prepared a summary of key provisions and insights across D-SNP and dual eligible impacts, supplemental benefits, Part D formularies, network adequacy, agent and broker commissions, and equity-related provisions. The Rule has a heavy focus on beneficiary protections and program transparency.

In the September 27, 2023 webinar, “Discovering Pathways of Support: What CMS's new GUIDE Model means for dementia patients, caregivers, and providers,” ATI Advisory’s CEO, Anne Tumlinson, led an in-depth discussion into the Model and its expected influence on the entire care spectrum with a panel of industry experts, including Tyler Cromer, Kris Engskov, Kemi Reeves, and Will Saunders.

Allison Rizer was interviewed by the popular public health podcast, Tradeoffs, about the difficult situation of being a dually eligible beneficiary.

National Public Radio quotes Allison Rizer about the complexities that dally eligible face.

ATI Advisory in partnership with the Rosalynn Carter Institute for Caregivers (RCI) sought to explore the evidence and needs of dementia caregivers that might inform a Medicare model test related to dementia care. On July 31, 2023, the Center for Medicare and Medicaid Innovation (CMMI) released the Guiding an Improved Dementia Experience (GUIDE) Model that includes explicit support for caregivers and is set to launch in July 2024.

ATI Advisory is pleased to release these first resources as part of our State Resource Center. We will continue to release state resources reflecting the latest insights and novel strategies, tip sheets, and education on the ever-changing market and federal policy environment, and what it means for states.