The COVID-19 pandemic has impacted long-term services and supports (LTSS) delivery in both institutional settings and home- and community-based settings (HCBS), raising questions around what the future of LTSS will look like. In LTQA’s second Community Coffee Hour on December 14, 2020, Camille Dobson of ADvancing States and Mary Sowers of NASDDDS explored the challenges States have experienced with regard … Read More
Report: Data Brief on Special Supplemental Benefits for the Chronically Ill (SSBCI) in Plan Year 2021
Now entering their second year, Special Supplemental Benefits for the Chronically Ill (SSBCI) have grown exponentially. Data from the Centers for Medicare and Medicaid Services (CMS) reveal that a larger share of Medicare Advantage (MA) plans, as well as Medicare Advantage Organizations (MAOs), are now offering SSBCI. The number of MA plans offering SSBCI has increased from 267 plans in … Read More
Webinar: Part 1 – Advancing Non-Medical Supplemental Benefits in Medicare Advantage
Title: Part 1 – Advancing Non-Medical Supplemental Benefits in Medicare Advantage Date: December 2020 Long-Term Quality Alliance (LTQA), in collaboration with ATI Advisory and with support from the SCAN Foundation, hosted a webinar on key findings from our research, data analysis, and interviews with Medicare Advantage (MA) plans and providers as presented in the recently released Roadmap and Policy Brief. … Read More
Coffee Hour: Advancing Medicare-Medicaid Integration During the COVID-19 Pandemic
Individuals dually eligible for Medicare and Medicaid have been disproportionately affected by the COVID-19 pandemic due to intersecting risk factors, including chronic conditions and racial and socioeconomic disparities. On top of this, dual-eligible individuals must navigate two complex and often conflicting insurance systems to receive care. During LTQA’s inaugural Member Coffee Hour on November 17, 2020, Allison Rizer of ATI … Read More
Report: Roadmap and Policy Brief on Advancing Non-Medical Supplemental Benefits in Medicare Advantage
The Long-Term Quality Alliance (LTQA) and ATI Advisory are pleased to announce the release of two new publications on new, non-medical supplemental benefits in Medicare Advantage. These resources were developed for plans, providers, and policymakers to accelerate adoption of these new benefits and to advance the Guiding Principles in practice. The two publications are: Providing Non-Medical Supplemental Benefits in Medicare Advantage: … Read More
Data Insight: New Primarily Health-Related Benefits in 2021 Medicare Advantage Plans
ATI Advisory and LTQA have developed a new resource that presents an analysis of Centers for Medicare and Medicaid (CMS) data on 2021 plan benefit packages. This data reveals that a growing number of plans are offering non-medical supplemental benefits using the expanded definition of primarily health-related benefits. The number of plans offering these supplemental benefits has increased from 499 … Read More
Brief: Using MA Supplemental Benefits to Respond to COVID-19
May 12, 2020 ATI Advisory and LTQA developed an issue brief that highlights how Medicare Advantage plans can use supplemental benefits to meet Medicare beneficiary needs during COVID-19. MA plans can provide non-medical supplemental benefits, things like food and produce delivered to Medicare beneficiaries’ doors and outreach to address social isolation, and CMS is providing unprecedented flexibility to MA plans … Read More
Webinar: Medicare Advantage and Supplemental Benefits: New Data and Principles for Implementation
The CHRONIC Care Act, implemented through the Bipartisan Budget Act of 2018, has provided Medicare Advantage plans new flexibilities related to offering a more expansive set of supplemental benefits known as Special Supplemental Benefits for the Chronically Ill (SSBCI). On Wednesday, February 26 LTQA and ATI Advisory hosted a webinar to discuss these new benefits, how they differ from traditional … Read More
Briefing: Medicare Advantage and the CHRONIC Care Act
On Tuesday, January 7th, the Long-Term Quality Alliance (LTQA), in collaboration with Anne Tumlinson Innovations (ATI) and with support from The SCAN Foundation, held a public briefing on Medicare Advantage and the CHRONIC Care Act. This briefing served as a public gathering of influential stakeholders across the LTSS spectrum, with a focus on implementation best practices and ways the private … Read More
Event: LTQA Symposium on December 9, 2019
LTQA Symposium: Integrated Care for Individuals with Dual Eligibility, Part I According to the CMS Medicare-Medicaid Coordination Office (MMCO), less than 10 percent of full-benefit dually eligible individuals were enrolled in an integrated care program as of June 2017. The remaining “full Duals” are enrolled in separate Medicare and Medicaid coverage and must navigate a complex and confusing world of … Read More