Population Health and Person-Centered Care

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.

With support from Arnold Ventures, ATI Advisory conducted listening sessions, focus groups, and interviews with diverse stakeholders to better understand the unique needs and experiences of individuals who are dual eligible for Medicare and Medicaid, and their caregivers. Through these conversations, ATI gained insights on the potential role that integrated coverage and care experiences can play in addressing the concerns of individuals who are dual eligible and their caregivers. Central to what we heard: individuals who are dual eligible and their caregivers seek a person-centered and seamless consumer experience.

Understanding differences in Medicare beneficiary experiences by race and ethnicity across Medicare Advantage and FFS Medicare can help policymakers and business leaders identify opportunities for health equity and continual improvement across both pathways to Medicare coverage.

Medicare Advantage (MA) plans are able to offer additional benefits over the benefits all Medicare beneficiaries receive – called supplemental benefits. These supplemental benefits most typically take the form of vision, dental, hearing, and medical transportation services, but the types of benefits offered are evolving rapidly to include things like in-home support services or personal care, food, and help paying utility bills. Improving data available on these supplemental benefits in MA is clearly on the minds of officials at the Centers for Medicare and Medicaid Services (CMS).

Healthcare providers are adapting in response to technologies enabling remote work, staffing shortages, patient preferences, and the competitive landscape of inpatient care.

Laura Benzing discusses the need for diverse and innovative approaches to addressing mental health, given the strong overlap between mental health and other structural and social determinants of health.