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Advancing Nonmedical Supplemental Benefits in Medicare Advantage

Since 2019, ATI Advisory and the Long-Term Quality Alliance, with support from The SCAN Foundation, have led national efforts to advance person-centered, non-medical supplemental benefits in Medicare Advantage.
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An Evaluation Framework for Assessing Nonmedical Supplemental Benefits in Medicare Advantage

After five years of growth of nonmedical supplemental benefits, there are significant gaps in our knowledge and the data around these benefits, especially from the perspectives of Medicare beneficiaries. Action must be taken to close data gaps so that policymakers have the information necessary to assess and, if needed, refine these benefits to align with their original intent to support the needs of individuals with complex chronic conditions. ATI Advisory and Long-Term Quality Alliance, with support from the SCAN Foundation, created the Evaluation Framework to chart a path for multiple stakeholders – including plans, policymakers, and researchers – to provide timely insights on Medicare Advantage enrollee needs, understanding, access, and experience of benefits; to enhance plan capabilities to collect and use data to improve benefit offerings; and to build the evidence base on nonmedical benefits’ effects.
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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.
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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.
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Disparities in LTSS Needs and Supportive Resources at Age 55, and Outcome Disparities During the Next Decade

Our research highlights disparities and differences in the prevalence of long-term services and supports (LTSS) needs and related resources among U.S. adults aged 55 and living in the community. We examine private finances, insurance coverage, and social supports, as well as long-term health, LTSS and financial outcomes over the next decade. Disparities and differences occurred along racial and ethnic, gender, and geographic lines. This report analyzes data from the University of Michigan Health and Retirement Study (HRS).
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Pharma Innovation and the IRA: Report on the Top 19 Companies from the First Half of 2023

Since the Inflation Reduction Act (IRA) was passed in 2022, significant discussion has been devoted to its potential consequences for the development of new drugs. This report examines whether the IRA has had immediate impacts on drug development in the first half of 2023 through analysis of the companies’ R&D investments and M&A and licensing activities.
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