Medicare and Medicaid Program Design

News

Preserving Integration For Dual Eligible Individuals After The End Of The Medicare-Medicaid Plan Model

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.
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Characteristics of Medicare Fee-for-Service Beneficiaries and Providers Impacted by Proposed CY2024 HCC Model

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.
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A Roadmap to Improve Integration for Dual Eligible Individuals: ATI’s Response to Congressional Request for Information

In response to Congress’ Request for Information to improve experiences for dual eligible individuals, ATI Advisory suggests key elements that would advance programmatic Medicare-Medicaid integration.
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Medicare announces plan to recoup billions from drug companies

Anna Kaltenboeck speaks with NPR about the Medicare's inflation rebate rules for prescription drugs.
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News

What The Inflation Reduction Act’s Reforms To Medicare Part D Mean For Prescription Drug Prices

Anna Kaltenboeck recently penned a Health Affairs article that explains how the Inflation Reduction Act will affect Medicare Part D and prescription drug pricing.
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More MA insurer audits mean more scrutiny on providers

Fred Bentley quoted in Modern Healthcare about considerations for providers with increased Medicare Advantage audits coming.
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