ATI Advisory Designs Medicare-Based Model to Support Needs of the “Overlooked Middle;” Actuarial Analysis Projects Over $500 Million in Savings

ATI Advisory Designs Medicare-Based Model to Support Needs of the “Overlooked Middle;” Actuarial Analysis Projects Over $500 Million in Savings

In this episode of Global Economic Press, Alex Brady discusses a groundbreaking initiative by ATI Advisory aimed at reshaping how Medicare supports the "Overlooked Middle" — individuals who fall between Medicaid eligibility and the ability to self-fund their long-term care needs. The Medicare Advancing Home and Community Care model, developed with actuarial analysis by Milliman, is a proof-of-concept that demonstrates Medicare's potential to finance targeted home and community-based services for beneficiaries with significant functional needs while maintaining or reducing Medicare spending. This innovative approach is projected to save over $500 million and is part of California’s Master Plan for Aging Long-Term Services and Supports Financing and Affordability Initiative.

The model addresses a critical gap in services for the "Overlooked Middle," who often face increased risks of hospitalization, institutionalization, financial strain, and caregiver burnout due to unmet functional needs. ATI Advisory's data-driven model design includes frailty screening, service navigation, and a flexible home and community-based services benefit capped at $2,500 annually. Milliman's actuarial modeling projects approximately $528 million in net Medicare savings over a 10-year period. While the analysis is based on California-specific data, the report suggests that the concept could be applicable across states without requiring additional Congressional action. For more information, visit ATI Advisory's website.

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Leading Through Fire: Resilient Leadership for People, Planet, and the Future, published by Lumination Hive, Wins 2026 Nautilus Gold Award

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In this episode of Global Economic Press, Alex Brady delves into the concept of resilient leadership, spotlighting the influential book "Leading Through Fire: Resilient Leadership for People, Planet, ...

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In this episode of Global Economic Press, Alex Brady delves into the challenges faced by Florida homeowners due to the resurgence of polybutylene pipes and the associated insurance coverage issues. Pl...

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First Choice Business Brokers New York Metro Celebrates 25 Years of Resilience at One World Trade Center

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In this episode of Global Economic Press, Alex Brady discusses the significant role that Raptor Roofing, a Central Indiana roofing contractor, plays in supporting local athletics and community engagem...

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In this episode of Global Economic Press, Alex Brady shifts the focus to the world of cosmetic surgery, highlighting Clareo Plastic Surgery's recent accolade as the best plastic surgery practice in Bo...

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Furnished Quarters Named Best Apartment Rental Company in Boston

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In this episode of Global Economic Press, Alex Brady delves into the corporate housing sector, spotlighting Furnished Quarters, a family-owned leader in the furnished housing industry. Recently named ...

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Furnished Quarters Named Best Apartment Rental Company in Cambridge, MA

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In this episode of Global Economic Press, Alex Brady delves into the corporate housing sector, spotlighting the recent accolade awarded to Furnished Quarters. This family-owned company has been recogn...

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Home games nearly double the crowd: World Cup WiFi data shows what the quarter final is worth to UK pubs, so Purple is dressing their WiFi in the England flag for free

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In this episode of Global Economic Press, Alex Brady delves into the intriguing relationship between sports and business, focusing on the impact of the World Cup on local economies in the United Kingd...

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