Bob Atlas Quoted in “2017 Outlook: SNPs Hope for Permanency, Stars Fixes, Enhanced Dual Integration”Medicare Advantage News, AIS Health January 12, 2017
Bob Atlas, a Strategic Advisor and President of EBG Advisors, Inc., in the firm’s Washington, DC, office, was quoted in AIS Health, in “2017 Outlook: SNPs Hope for Permanency, Stars Fixes, Enhanced Dual Integration (With Tables: 2016 Showed Sustained Growth in SNP Enrollment; SNPs Operating in 2017),” by Lauren Flynn Kelly. (Read the full article – subscription required.) The article was originally published in Medicare Advantage News.
Following is an excerpt:
The CMS-backed duals demo is authorized by the Center for Medicare and Medicaid Innovation (CMMI), which is under threat of being removed by House Speaker Paul Ryan (R) and congressional Republicans. If that happens, however, CMS would theoretically lose its authority to make the demonstrations permanent without action from Congress, suggests Bob Atlas, president of the EBG Advisors unit of health care law firm Epstein Becker & Green, P.C.
“States are going to continue to look for ways to get the duals population into Medicare managed care plans,” Atlas predicts. And while states can’t mandate that a Medicare beneficiary join a Medicare managed care plan — leading to uninspiring enrollment figures in the CMS-backed duals demonstrations — another trend that’s likely to continue is “mandatory enrollment of Medicaid beneficiaries, including dual eligibles, into Medicaid managed long-term supports and services [MLTSS] plans,” he says. Once dual eligibles are in the MLTSS plans, they can be encouraged or enticed to enroll in companion MA plans, he explains. For example, states could add a few extra benefits to the Medicaid plans for people who enroll voluntarily in D-SNPs operated by the same sponsors.