Part II: ATI's Fred Bentle sits down with Dr. Charles T. Pu to ask him about his experience operating a unique SNF at Home Model. Dr. Pu shares learnings from his SNF at Home trial, recently published in the Journal of Applied Gerontology.
Policymakers are calling attention to nursing home regulations clearly identifying owners and operators. We reviewed capital market dynamics, the role of private capital in the industry, and included policy implications for future reform.
Part I: ATI's Fred Bentle sits down with Dr. Charles T. Pu to ask him about his experience operating a unique SNF at Home Model. Dr. Pu shares learnings from his SNF at Home trial, recently published in the Journal of Applied Gerontology.
Healthcare providers are adapting in response to technologies enabling remote work, staffing shortages, patient preferences, and the competitive landscape of inpatient care.
ATI Founder, Anne Tumlinson, collaborated with long-term care industry leaders, Bob Kramer and David Grabowski, in this Opinion piece in The Hill on America’s failing long-term care infrastructure
The long-term care insurance market has been on a downward spiral due to several factors. Some carriers have exited the industry, and remaining carriers' policies are at much higher premium levels. This presents challenges to downstream policy.
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.
ATI founder, Anne Tumlinson, testifies to on the Federal Commission on Long Term Care’s recommended changes to U.S. long-term care financing and delivery system.
Future Medicare Advantage policy must consider more deliberate opportunities to support person-centeredness, to recognize the outsized role that family caregivers play, and to integrate with Medicaid to promote equitable access and health outcomes.
Medicare Advantage is positioned to integrate and coordinate services more effectively than in fee-for-service environments. We organized our insights into a tool that explores key data on related topics to expand MA plans and value-based care.
Over 12 million people in the United States are enrolled in Medicare and Medicaid. Dual eligible beneficiaries are more likely than Medicare-only population to experience numerous health and social markets.
This analysis is the third in a series of data briefs examining Medicare Advantage beneficiaries' experiences during COVID-19 compared to Fee-for-Service beneficiaries.
Inequities experienced by diverse Medicare beneficiaries were exposed during the pandemic. Research shows that Black and Latinx MA enrollees experience greater clinical complexity, while receiving receive more preventive services at a lower cost.
Despite calls to delay the start of the hospice component in VBID, CMS is moving ahead, announcing that 54 plans across 13 states and Puerto Rico will include hospice benefits...
LTC provider-led SNPs combine primary care with residential long-term care to reverse the revolving door between nursing homes and assisted living and emergency rooms and inpatient hospitalizations, benefiting residents, families, and Medicare plans.
MA plans were allowed to make midyear supplemental benefits changes to address beneficiaries’ needs during the pandemic. Early lessons plan experiences suggest supplemental benefits can help meet member needs and enable home-based care.
Non-primarily health benefits are now available through Medicare Advantage programs. With support from partners, we developed principles to guide stakeholders in developing, offering, delivering, and using these new benefits.
Allison Rizer outlines in Health Affairs how states using Medicaid FFS to serve dual-eligible individuals can create a more integrated, financially sustainable program design.
As CMS sunsets the MMP model, it will be important to preserve lessons that benefited stakeholders. CMS has authority to maintain MMP model attributes, and should preserve those that are in statute through a refined, innovative financial model.
ATI Advisory and Arnold Ventures share thoughts on opportunities for CMS to use Medicaid authority to advance integration for dual eligible individuals.
Impactful policymaking requires understanding individuals’ holistic health. This chartbook provides insights into the dual eligible population, supporting efforts to provide meaningfully integrated programs to all dual eligible beneficiaries.
ATI's Allison Rizer, along with Arnold Ventures' Amy Abdnor and Arielle Mir, share their thoughts on the CY2023 Medicare Advantage Final Rule, and its unprecedented focus on integration.
ATI Advisory prepared the following overview to provide stakeholders with a summary, and insights, into the key provisions impacting dual eligible beneficiaries.
With no current requirements ensuring that Medicaid programs serving dual eligible individuals integrate with Medicare, CMS has an opportunity to achieve greater integration for these individuals, and improving access to integrated programs.
A considerable number of dual eligible beneficiaries with access to Medicare-Medicaid integrated programs remain in Medicare FFS, suggesting an opportunity for targeted education and program design.
The 2023 MAPD Proposed Rule is packed full of D-SNP integration requirements, but the journey isn't done. Our blog explores what more needs to be done to advance integration for dual eligibles.
The shortage of worforce capacity to deliver services to beneficiaries limits the ability of state Medicaid agencies to provide services. States have three core options to encourage managed care entities to support HCBS capacity building efforts.
Medi-Cal allows managed care plans to provide flexible person-centered services and address social drivers of health. Other states across the country can look to California’s experience to explore opportunities to leverage ILOS more broadly.
CA's Medicare Innovation Office is the first dedicated office within a state Medicaid agency focused on program design for dual eligibles. Understanding the growing Medicare population is important for CA to identify opportunities to support them.
This report outlines strategic recommendations for the California Department of Aging to explore in its effort to improve quality, equity, and cultural competence. Other states and their SHIPs might also consider these recommendations.