ATI Advisory

ATI’s leading voice in drug pricing, Anna Kaltenboeck, was recently featured in The Lancet providing insight into the rising costs of cancer medicine. Read now: https://lnkd.in/ejY47BAY #Oncology #Pharma #Healthcare #DrugPricing

Don’t miss ATI expert Jennifer Sisto Gall, MPH at Camden Coalition's annual conference next week. Let us know if you’ll be there! #Healthcare #CenteringCare24 #ComplexCare #Conference

CMS’ most significant mandatory bundled payment model, TEAM, creates many opportunities for post-acute and other providers to participate as “TEAM Collaborators.” ICYMI: View ATI experts Brian Fuller and Tina Hansen Pickett’s discussion of TEAM network optimization strategies now. #Hospital #PostAcuteCare #CMS #Medicare #Healthcare #HealthcareInnovation

ATI leaders Allison Rizer, MHS, MBA and Johanna Barraza-Cannon are attending the Association for Community Affiliated Plans (ACAP) 2024 CEO Summit this week. Let us know if you plan to attend! #Healthcare #HealthcareInnovation #Conference #HealthPlans

The Medicare-Medicaid integration landscape continues to shift, and?we're seeing this up close in the new Medicare Advantage data. Three states are increasing their integration status in 2025, 12 states will have FIDE SNP, and federal policy change means two states are losing their FIDE designation.?A total of 48 states will have any type of D-SNP in 2025.? ? ATI has helped multiple states advance their Medicare-Medicaid integration program design. Reach out to learn more:?[email protected]? ? Access more state resources here:?https://lnkd.in/eURN6YTk? ? #Medicare #Medicaid #MedicareAdvantage #CMS #Healthcare #HealthcareInnovation

Don’t miss ATI Advisory’s next conversation on the hospital discharge crisis, where Fred Bentley, Brianna Ensslin Janoski, and Anne Tumlinson will explore opportunities for leaders across the healthcare continuum to expand post-acute capacity and prevent unnecessary hospitalizations through partnership development, state policy reform, and innovative care model implementation. Register now: https://lnkd.in/e7f2Qrcx #Healthcare #Webinar #Hospital #LongTermCare #PostAcuteCare #HealthcareInnovation

Don’t miss our ATI experts Tina Hansen Pickett, Jade Gong, and Tyler Cromer at the National PACE? Association Annual Conference next week. Let us know if you plan to attend! #Healthcare #HealthcareInnovation #PACE #SeniorHealth #ComplexCare

We're seeing consistent growth across D-SNPs (957 plans) and C-SNPs (391 plans), with some contraction in the number of I-SNPs (162 plans) in CY 2025. As the #MedicareAdvantage market shifts, we're working with clients to?ensure growth strategies are pointed in the direction of need, member impact, and growth. When considering market entry, expansion, and supplemental benefit strategy across health plan lines of business, SNP trends are key. Reach out to learn more:?[email protected]

New from ATI Advisory: Analysis of nonmedical supplemental benefits in Plan Year 2025 #Medicare?Advantage (#MA) plans finds important shifts in MA plans' offerings this upcoming year: ?? More MA plans are offering nonmedical supplemental benefits targeting food, transportation, and housing than in PY2024. Moreover, more plans are employing the value-based insurance design (VBID) demonstration model to offer those benefits (as opposed to through SSBCI authority). ?? Fewer MA plans are offering long-term services and support (LTSS)-like benefits, such as in-home services and support, support for caregivers, adult day health, and social needs benefits, than in PY2024. ? We will continue to update this analysis with a deeper dive into the trends. In the meantime, tune in today at 1p ET as Allison Rizer, MHS, MBA, Tyler Cromer, and Claire Boozer Cruse, MPH discuss a first look at the CY 2025 Medicare Advantage Market Trends & Supplemental Benefits data. Register now: https://lnkd.in/einW-EBy ? ATI’s research portfolio on supplemental benefits: https://lnkd.in/guvbbGzv ? *Note: Analysis of CMS PBP files (2024-2025), excludes Employer Group Health Plans (EGHPs), Prescription Drug Plans (PDPs), Medicare-Medicaid Plans (MMPs), Part B-only plans, and PACE. A plan is the combination of contract ID, plan ID, and segment ID. Total MA plans are 5,786 in 2024 and 5,687 in 2025. ? This work was completed with support from The SCAN Foundation. #medicareadvantage

Coming out of the Q3'24 earning season, we are paying close attention to how Medicare Advantage Organizations are changing their service areas and product strategies for 2025. Analysts were highlighting potential for large market contractions: however, the newly released data suggest that the market is relatively stable with some give and takes. Are you interested in how the #MedicareAdvantage competitive landscape is changing where you operate? Reach out to us at [email protected] for more detail by county or plan type.