Report: Expanded Primarily Health-Related Benefits in 2023 Medicare Advantage Plans

Release Date: November 2022 With support from The SCAN Foundation, LTQA and ATI Advisory are pleased to share information on PY2023 Medicare Advantage supplemental benefits. In 2023, more Medicare beneficiaries will have access to expanded primarily health-related benefits (EPHRB) than in prior years, especially those enrolled in Special Needs Plans. Also, many MA Organizations (MAOs) are offering EPHRB in most … Read More

Response: Medicare Advantage RFI

Publication date: August 2022 LTQA and ATI Advisory have responded to CMS’ request for information (RFI) on Medicare Advantage. We appreciate CMS’ efforts to explore how to better support MA beneficiaries with serious, chronic conditions and functional needs and advance equity through this RFI. Our comments on this RFI draw from our extensive research on non-medical supplemental benefits as well … Read More

Report and Webinar: Policy Recommendations for Congress to Advance New Supplemental Benefits in Medicare Advantage

Publication Date: May 2022 Based on several years of research tracking the initial implementation and progress of Special Supplemental Benefits for the Chronically Ill (SSBCI) in Medicare Advantage, a new policy report from LTQA and ATI Advisory outlines three policy recommendations for Congress to advance supplemental benefits for Medicare beneficiaries with complex care needs. Broadly, these include modifying eligibility criteria … Read More

Comments: Medicare Advantage and Part D Proposed Rule

On March 7, 2022, LTQA submitted comments on the Medicare Program; Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs proposed rule. LTQA appreciates CMS’ efforts to support MA beneficiaries with serious, chronic conditions and functional needs through this Proposed Rule. In our comments, we highlight several considerations on the provisions with … Read More

Resource: Analysis of the CY2023 Medicare Advantage Proposed Rule: Impacts on Non-Medical Supplemental Benefits

LTQA and ATI Advisory are pleased to share our early insights on the CY 2023 MAPD Proposed Rule with a focus on the key provisions impacting non-medical supplemental benefits in Medicare Advantage (MA). These provisions include standardizing social determinants of health questions in the health risk assessment, maximum out-of-pocket limits, coordination of Medicaid and MA supplemental benefits, marketing and communications, … Read More