Activity in both public and private sectors has revealed concerted movement toward establishing a long-term care model that is accessible to consumers and sustainable for state Medicaid funds.
Recent Work
A Deep Dive on In-Home, Caregiver, and Social Supports in Medicare Advantage: Can These Benefits Meaningfully Meet Member Needs and Support Independence?
Four years into implementation, nearly 40% of Medicare Advantage plans are offering nonmedical supplemental benefits in 2023. This latest report examines why benefits that help members stay in their homes – specifically in-home support services (IHSS), caregiver supports, and social needs benefits – have experienced significant growth and adoption despite the challenges in providing a human-powered service.
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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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Medicare Advantage Beneficiaries Spend Less on Health Care Premiums and Out-of-Pocket Costs than Fee-For-Service Beneficiaries
An ATI Advisory analysis commissioned by Better Medicare Alliance found that Medicare Advantage beneficiaries report saving more than $2,400 annually on out-of-pocket costs and premiums compared to Fee-for-Service (FFS) Medicare beneficiaries.
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