Medicare and Medicaid Program Design

Insights

LTC Provider-Led I-SNPs Increase by 38% in Plan Year 2021

New data on plan year 2021 show that the market continues to embrace provider-led plans...
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Insights

Medicare Advantage Plans Gearing up to Coordinate Palliative Care and Hospice for Members

Despite calls to delay the start of the hospice component in VBID, CMS is moving ahead, announcing that 54 plans across 13 states and Puerto Rico will include hospice benefits...
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Insights

Transportation, Access, Dual Eligibility, and COVID-19

The COVID-19 public health emergency continues to accentuate racially- and income-based healthcare disparities in our country. And individuals dually eligible for Medicare and Medicaid (“dual eligibles”) are at the center of it all.
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Insights

Left Behind in the Era of Internet: Yet Another Challenge Facing Dual Eligible Beneficiaries

The population most vulnerable to negative outcomes associated with COVID-19, individuals dually eligible for Medicare and Medicaid (“dual eligibles”), may be the least likely to access telehealth...
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Insights

Making Sense of Medicare-Medicaid Integration Models

Most of us agree: there is value in Medicare-Medicaid integration. But how well do you understand the programs that aim to accomplish integration?
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Work

Using Medicare Advantage Supplemental Benefits to Respond to the Pandemic

MA plans were allowed to make midyear supplemental benefits changes to address beneficiaries’ needs during the pandemic. Early lessons plan experiences suggest supplemental benefits can help meet member needs and enable home-based care.
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