Medicare-Medicaid Integration

Work

Opportunities for Improving Access to Palliative Care for Dual Eligible Individuals with Serious Illness

10% of dual eligible individuals report living with a serious illness, according to ATI Advisory’s (ATI) analysis of the 2018-2021 Medicare Current Beneficiary Survey (MCBS) using a narrow definition of serious illness. While this means that 10% of dual eligible individuals can potentially benefit from palliative care, much fewer actually receive such services. This brief highlights opportunities to promote access to palliative care for dual eligible individuals.
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Work

Health Equity in Long-Term Services and Supports: Robert Wood Johnson Foundation Project Results and Findings

Approximately 14 million adults in the United States need long-term services and supports (LTSS) to help with their cognitive and functional needs. How many of these individuals have access to LTSS? What are their experiences like? What are the disparities by race and ethnicity, gender, age, and sexual identity?
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Insights

CY2025 Medicare Advantage Final Rule

On April 4, 2024, CMS released its Contract Year 2025 Medicare Advantage and Part D Final Rule. 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. For more information about how ATI Advisory can help you navigate research, policy, operational, or strategic issues, please contact us at info@atiadvisory.com. 
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Work

Access to LTSS-Like Supplemental Benefits Data Brief

Many individuals in the United States access long term services and supports (LTSS) through Medicaid. But for Medicare beneficiaries without Medicaid, LTSS-like supplemental benefits offered by Medicare Advantage (MA) plans can help increase access to LTSS. This ATI Advisory data brief examines whether access to and enrollment in MA plans offering LTSS-like supplemental benefits differs meaningfully by demographic characteristics, including age, gender, race and ethnicity, and geography.
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Work

Opportunities to Improve Quality of Life and Health Outcomes Among People Experiencing Incontinence

ATI analyzes the prevalence of incontinence among dual eligible individuals, and highlights services and products that can help individuals manage their incontinence.
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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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