Special Supplemental Benefits for the Chronically Ill (SSBCI) and New Primarily Health Related Benefits

We analyzed the Medicare Advantage Plan Benefit Package (PBP) files to assess how many plans are offering supplemental benefits under new authority provided in the CHRONIC Care Act and 2018 guidance from CMS. We also provide information about where these benefits are available, which plans are offering them, and how many people are enrolled in plans offering them.


Medicare Advantage SSBCI and New Primarily Health-Related Supplemental Benefits Landscape

Healthcare Services in Senior Living and Nursing Homes

We analyzed the average income, insurance coverage arrangements, health status, and healthcare utilization of seniors in different residential settings: traditional private housing, retirement communities, independent living, assisted living, and nursing homes.


The Case for Integrating Healthcare Services into Senior Living and Nursing Homes

A Turning Point in Medicare Policy

Together with The SCAN Foundation and The Long-Term Quality Alliance, we convened a working group of national experts on Medicare Advantage and long-term services and supports to develop principles to guide implementation and successful adoption of Special Supplemental Benefits for the Chronically Ill.


Guiding Principles for New Flexibility Under Special Supplemental Benefits for the Chronically Ill   

Comparing the Characteristics and Experiences of Medicare Beneficiaries

We conducted original data analysis using the 2016 Medicare Current Beneficiary Survey to compare traditional Medicare beneficiaries with those enrolled in private Medicare Advantage plans.


Analyzing Data To Prepare for Growing Number of High-Need Medicare Beneficiaries   

Creating an Optimal System of Brain Health Care in the United States

We convened more than 40 experts from academia, business, healthcare, nonprofit organizations, and government to identify immediate action areas to accelerate an optimal system of care for brain health.


Convening Experts To Prioritize Immediate Opportunities To Advance an Optimal System of Care

 Invention Born of Necessity: The Provider-Led Medicare Advantage Plan

We analyzed one innovative provider’s readiness and ability to form and operate an I-SNP for its residents.


Evaluating an Organization’s Ability To Provide Insurance to Its Residents


Chronic Care Act: Making the Case for Non-Medical Services and Supports in Medicare Advantage Supplemental Benefits

We analyzed the impact of chronic conditions and activities of daily living on Medicare utilization in an effort to better understand high cost, high need populations that could benefit from additional supplemental benefits.


Analyzing Data to Help Plans Identify Target Population for Benefits 

Need for LTSS Emerging as a Defining Characteristic of High-Cost, High Need Medicare Population

What is the relationship between LTSS need and Medicare spending that could influence spending? We partnered with the Long-Term Care Quality Alliance and Johns Hopkins University researchers to answer this question.


Spending on Older Adults Who Need Long-Term Services and Supports

Integrated Care in Seniors Housing That Meets the Triple Aim

To understand the impact of integrated care in seniors housing, we compared patient outcomes from residents of an innovative senior housing company to the patient outcomes of a similarly disabled and cognitively impaired Medicare population.


Reducing Hospitalizations by Integrating Health and Housing

Five Health Plans Successfully Bridge Acute and Long-Term Care Needs

We partnered with the Long-Term Care Quality Alliance to define long-term services and supports (LTSS) integration and study the aspects of LTSS integration that appear to contribute most to cost and quality outcomes. For this study, we selected five organizations around the country that have experience integrating LTSS and medical care and are successful examples of LTSS.


Developing the Business Case for LTSS Integration

Bipartisan Consensus on Long-Term Care Financing

In 2015, three unique bipartisan groups worked collaboratively but separately and came to the same conclusion about the future of financing long-term care. We partnered with The SCAN Foundation to analyze the three sets of policy recommendations.


Emerging Consensus on a Challenging Public Policy Problem

The Hot Spot for Medicare Spending

We examined Medicare data and found that in 2012, Medicare spent approximately $17,961 per capita on older adults with both chronic conditions and high functional impairment (the inability to perform two or more activities of daily living) compared to about $7,228 on those with chronic conditions but no functional impairment.


Identifying Key Factors In High Medical Spending