On September 20, IHI published a blog post by LTQA and Anne Tumlinson Innovations regarding new expanded flexibility in Medicare Advantage Supplemental Benefits. The blog discusses how new flexibility creates an opportunity for insurers and providers to work together to improve care for Medicare beneficiaries, and highlights our recent guiding principles for Special Supplemental Benefits for Chronically Ill Beneficiaries (SSBCI). … Read More
Resource: LTQA Resources Featured in Better Care Playbook
This month, three LTQA resources were featured in the Institute for Healthcare Improvement’s (IHI) Better Care Playbook. The Better Care Playbook highlights the best in evidence-based practices and promising approaches to improve care for people with complex health and social needs. It is made possible by six leading health care foundations, and led by the Institute for Healthcare Improvement with support … Read More
Blog: New n4a Business Institute Blog by LTQA Executive Director
In a new post on the n4a Aging and Disability Business Institute blog, LTQA’s Mary Kaschak and Paul Cantrell of Comprehensive Care Connections discuss the potential for Medicare Advantage (MA) to address social determinants of health (SDOH). The CHRONIC Care Act of 2018 allowed MA plans to offer special Supplemental Benefits for the Chronically Ill (SSBCI), enabling plans to cover … Read More
Report: Guiding Principles for New Flexibility Under Special Supplemental Benefits for the Chronically Ill
July 25, 2019 Older adults with complex care needs often require non-medical services and supports to complete many daily activities—things like transportation to adult day care centers, retrofitting a home for wheelchair use, and support for caregivers, among others. In January 2020, these benefits can be covered by Medicare Advantage plans to help meet individual needs and save chronically ill … Read More
Report: Housing and Healthcare Integration for Low-Income Seniors
July 18, 2019 Senior housing, by virtue of its above-average concentration of seniors with complex care needs and high medical costs, provides an opportunity for targeting intensive care management and service coordination to support individuals in their homes, defer institutionalization, and reduce unnecessary and expensive medical care. Across the country, a variety of initiatives have searched for sustainable models of … Read More
Report: SCO Integration and Medical Utilization
June 25, 2019 LTQA conducted a study of the Senior Care Options (SCO) program in Massachusetts, one of the earliest CMS Demonstrations integrating Medicare and Medicaid coverage for residents age 65 and older who have dual eligibility for both programs. The study includes an overview of the SCO program and case studies of three of the six SCO plans that … Read More
Report: Medical Utilization in Plans that Integrate Long-Term Services and Supports
Date: November 2018 In recent years, policymakers have focused on the small population with the most complex care needs that account for more than half of health spending, and on interventions that can address functional needs and social determinants of health. LTQA, in partnership with the Lipitz Center for Integrated Care at Johns Hopkins University, conducted a study comparing rates … Read More
Press Release: LTQA Releases Study on Medical Utilization in Health Plans that Integrate LTSS
FOR IMMEDIATE RELEASE April 30, 2019 Contact: Mary Kaschak Long-Term Quality Alliance 202-452-9217 mkaschak@ltqa.org LTQA Releases Study on Medical Utilization in Health Plans that Integrate Long-Term Services and Supports (LTSS) The Long-Term Quality Alliance (LTQA) today released the Final Report from a study on “Medical Utilization in Plans that Integrate Long-Term Services and Supports.” The study was … Read More