Population Health & Person-Centered Care

ATI Advisory identifies what sets apart individuals with Long Term Care (LTC) needs from the rest of the Medicare population. This work examines the demographic profiles, care complexity, medications, and medical and pharmacy spending for Medicare beneficiaries receiving LTC in different settings, as well as for Medicare beneficiaries who do not receive LTC.

Allison Rizer and Laura Benzing share their perspective on Medicare Advantage supplemental benefits in Health Affairs.

Home Health Care News reports on Anne Tumlinson's testimony on HCBS, "Halting HCBS support is like bringing an umbrella to a hurricane."

Anne Tumlinson testified before the Senate Committe on Aging about the importance of funding and investing in home and community-based services to better support aging seniors. This includes more consideration for adequately funding caregivers who make it possible for seniors to remain safely at home .

States are considering policies to support contracting with managed care organizations to deliver value-based care. Insurer-provider tensions and state goals have led others to adopt approaches that stop short of fully delegating administration.

Community-dwelling Medicare beneficiaries who are Black and/or Latino/a are more likely than white beneficiaries to report difficulty managing activities of daily living, according to a databook released by ATI Advisory (ATI) with support from the Robert Wood Johnson Foundation (RWJF). Activities of daily living include dressing, bathing, walking across the room, transferring in and out of bed or chair, using the toilet, and eating.

Beneficiaries who are Black or Latino/a are more likely than white beneficiaries to report difficulty with activities of daily living (ADLs) and other conditions that can negatively impact their health. Understanding the experiences of individuals reporting difficulty with ADLs across race and ethnicity can help policymakers develop strategies to address inequities. This databook, supported by the Robert Wood Johnson Foundation, conveys research findings on the racial and ethnic disparities among this population across social determinants of health, natural community supports, and health care experiences.

With support from West Health Institute, ATI Advisory created a compendium of more than 40 innovative models and programs that can help meet the behavioral health needs of the older adult population. ATI’s analysis includes policy and financing considerations to help identify and translate attributes that support scale and enable sustainability for stakeholders. These include state, community-based organizations and managed care plans looking to develop or implement integrated behavioral health strategies for older adults.

ATI Advisory in partnership with UnitedHealthcare Community & State, developed a report highlighting the health equity considerations faced by Medicaid beneficiaries with complex care needs. Findings from ATI's analysis show substantial disparities and intersectional needs among individuals dually eligible for Medicare and Medicaid, individuals with long term services and supports (LTSS) need, and individuals with intellectual and developmental disabilities (I/DD).

The Medicare Health Outcomes Survey (HOS) aims to gather meaningful self-reported data from Medicare Advantage (MA) beneficiaries to measure health plan quality performance. As Congress and CMS seek to advance health equity and to better understand and quantify the quality of care received by Medicare beneficiaries, this report outlines recommendations to address the shortcomings of the HOS and modernize it to better reflect and understand the changing Medicare population.