A new brief from ATI Advisory offers data insights on 2023 Medicare Advantage (MA) plans offering the five expanded primarily health-related benefits (EPHRB). The brief includes information on where plans are offering EPHRB and an overview across both MA special needs plans (SNPs) and non-SNP MA organizations. This is part of ATI’s broader effort to track nonmedical supplemental benefits and builds on their recent chartbook.
News on transforming care for older adults
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A new brief from AARP Public Policy Institute presents the vision and framework for the 2023 Long-Term Services and Supports (LTSS) State Scorecard. The brief discusses AARP’s approach to the 2023 edition of the Scorecard, reflects on changes since the Scorecard was first published in 2011, and considers how future editions may best meet today’s needs.
A brief from the National Conference of State Legislatures (NCSL) highlights current federal initiatives for integrating payment and delivery of services for dually eligible beneficiaries and opportunities for future integration efforts.
In a competitive bid, the Center for Health Care Strategies (CHCS) selected Medicaid agencies in eight states — Colorado, Hawaii, Maine, North Carolina, Texas, Virginia, Washington State, and Wisconsin — to participate in Medicare Academy: Capacity-Building for Advancing Medicare-Medicaid Integration. The Academy will help the states develop and oversee integration programs and engage in longer-term policy and program refinement.
A recent Health Affairs blog highlights cutting-edge efforts by the California Department of Health Care Services’ Office of Medicare Innovation and Integration (OMII). OMII sits within the state’s Medicaid agency and is tasked with expanding the health and human service focus beyond Medicaid to improve health outcomes, quality, affordability, and equity for all Medicare beneficiaries in California, including those that are dually eligible.
In a recent request for information, the Centers for Medicare & Medicaid Services (CMS) sought feedback to strengthen Medicare Advantage and advance health equity. Drawing on years of research, ATI Advisory and Long-Term Quality Alliance (LTQA) shared how CMS can strengthen supplemental benefits to advance health equity and better support Medicare beneficiaries.
We recently hired three vice presidents from diverse sectors of health care to build out our executive team:
- Anika S. Heavener, Vice President of Innovation and Investments;
- Narda Ipakchi, Vice President of Policy; and
- Rigo A. Saborio, Vice President of Programs, Equity, and Community Impact.
The appointments conclude a broad executive search for proven, dynamic, and diverse leaders to advance TSF’s strategic priorities. Read more.
Our latest Associated Press-NORC Center for Public Affairs Research poll indicates that most U.S. adults think private health insurers (60%) and Medicare (57%) should have a large responsibility for paying for the costs of long-term care, and about half think the same about Medicaid (53%).
Older adults thrive in settings best suited to their individual needs. A new report from the Convergence Center for Policy Resolution highlights steps toward a system of care and supports that reflect the preferences and life goals of older adults. These include creating a constellation of care settings with adaptable and viable business models so that preferred options are available as people age, and ensuring there are enough direct and family caregivers.
The Center for Health Care Strategies is seeking states to participate in the Medicare Academy: Capacity-Building for Advancing Medicare-Medicaid Integration. The 10-month training program is designed to help Medicaid staff build the Medicare knowledge needed to successfully advance integration efforts. Applications are due September 9.
Together Medicare and Medicaid have the potential to enhance the care experience, improve outcomes, and reduce costs. The Center for Health Care Strategies’ resource center can help states grow their knowledge base for advancing Medicare-Medicaid integration.
Read the latest brief from ATI Advisory and Long-Term Quality Alliance (LTQA) outlining their top three recommendations to Congress for advancing Special Supplemental Benefits for the Chronically Ill (SSBCI) in Medicare Advantage.
Approximately 403,000 California Medicare beneficiaries were served by accountable care organizations (ACOs) in 2020, with nearly 16 percent dually eligible for Medicare and Medi-Cal. A new fact sheet from CHCS published in partnership with the Department of Health Care Services Office of Medicare Innovation and Integration provides a foundational understanding of the state’s Medicare ACO structure and who it serves. Learn more about California’s Medicare population.
As nonmedical supplemental benefits in Medicare Advantage (MA) become more widely available, now is an important time to reflect on whether we are meeting the promise of the CHRONIC Care Act. Watch the recording of a recent briefing and remarks from Senator Warren.
Read a related report outlining policy recommendations for Congress to advance the Special Supplemental Benefits for the Chronically Ill in MA plans.
The quality of person-centered care that an older adult receives is heavily dependent upon race, insurance, and income level. A recent report explores ways to increase the availability of person-centered care.
A new report from Long-Term Quality Alliance and ATI Advisory outlines policy recommendations for Congress to advance the Special Supplemental Benefits for the Chronically Ill (SSBCI) in Medicare Advantage (MA). Based on early research tracking the initial implementation and progress of these benefits, recommendations include modifying SSBCI eligibility criteria, incentivizing plans to report SSBCI utilization, and carefully evaluating efforts.
High costs and an aging population are driving the U.S. health care system to innovate. Watch a recent webinar where our President and CEO Sarita A. Mohanty joined a panel of experts to discuss value-based care and reshaping how the nation delivers health care.
A related Milken Institute Center for the Future of Aging report identifies ways technology can support health- and home-care solutions.
A Better Care Playbook article highlights research from the Center to Advance Palliative Care (CAPC) exploring the experiences of Black patients during serious illness. The work identifies disparities in symptoms management and communications, preferences for hospital and life sustaining treatment, and recommendations for reducing suffering and enhancing equity in America.