Medicare-Medicaid Integration

Work

State Resource Center

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.
Read More Read More
News

How Integrated Programs Can Address The Challenges Of Limited English Proficiency For Dual Eligible Individuals

Laura Benzing, Allison Rizer, and Anne Tumlinson write for Health Affairs on how State policy makers can improve person-centered care for dual-eligible individuals with limited English proficiency and their caregivers. The publication offers concrete recommendations for states to assess linguistic needs and ensure subsequent assessments are linguistically appropriate, improve language accessibility measures, and engage providers and dual-eligible individuals from limited English proficiency communities.
Read More Read More
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.
Read More Read More
Work

Dual Eligible Individuals With Behavioral Health Needs 

Our research highlights the unique characteristics and healthcare experience among dual eligible individuals with behavioral health needs. We examine demographic (race and ethnicity), health-related social needs, health status, access to care, relationship to providers and healthcare utilizations among those dual eligible individuals with behavioral health needs. This chartbook uses the national Medicare Current Beneficiary Survey for the analysis.
Read More Read More
Insights

CY2025 Medicare Advantage Proposed Rule

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.
Read More Read More
News

The 12 Million People Lost in a Maze of Medicare and Medicaid

Allison Rizer was interviewed by the popular public health podcast, Tradeoffs, about the difficult situation of being a dually eligible beneficiary.
Read More Read More
1 2 3 4 9