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.

CASE STUDY

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.

CASE STUDY

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.

CASE STUDY

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.

CASE STUDY

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.

CASE STUDY

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.

CASE STUDY

Identifying Key Factors In High Medical Spending