Managed Care Plans

Helping Managed Care Plans, Design, Strategize, and Grow

In a landscape marked by intense competition, ATI equips health plans with strategic insights and guidance needed to excel in market entry and positioning, investment decisions, and reputation management. Our knowledge and analytics help you optimize benefit design, improving retention and attracting members while staying ahead of trends and regulatory changes.

Our Services

ATI Services for Managed Care Plans

ATI works collaboratively with health plans to foster strong, mutually beneficial partnerships that enhance payer-provider alignment and drive superior outcomes.

Business Strategy

  • Market entry, retention, growth strategy
  • Market demand analysis
  • Procurement support and plan build
  • Policy analysis and implications
  • Investment analysis
  • Benefit and program design

Risk Management

  • Gaps in care closure
  • Provider network optimization
  • Alternative payment models

Partnership Development

  • Assessment and optimization
  • Partner vetting and RFP development
  • Strategic impact and market investing
  • Value-based contracting

By the Numbers

Medicare Advantage

42
On average, 6 Medicare Advantage Organizations operate in a given county with an average 42 different plan products for Medicare beneficiaries to choose from
Medicare Advantage enrollment has increased 15% in two years, with more than half of all Medicare beneficiaries now choosing Medicare Advantage
40%
Medicare Advantage plans spend an average of $53 of their rebates on supplemental benefits and approximately 40% of plans offer non-medical supplemental benefits

SPECIAL NEEDS PLANS

SNPs comprise 20% of total Medicare Advantage enrollment, up from 14% in 2020
6M
Nearly 6M dual eligible people are enrolled in D-SNPs, reflecting more than 100% growth in enrollment in 5 years

Medicaid Managed Care

Nationwide, 75% of Medicaid recipients are enrolled in comprehensive Medicaid managed care, with all but 5 states using some form of managed care
3.1M
3.1M dual eligibles in Medicaid managed care, and states are increasingly carving dual eligible people into managed care programs

Drug Coverage

9
On average, Medicare beneficiaries take 9 different prescriptions
30
More than 30 states carve the pharmacy benefit into comprehensive Medicaid managed care

ATI’s Research + Resources on Managed Care

Contact Us

Email us at info@atiadvisory.com or fill out the form below and we’ll be in touch.