Industry Articles & Research
Stay informed with the latest insights, research, and coverage shaping the I-SNP and long-term care landscape. This page brings together relevant industry news and articles to provide context on evolving trends and policy developments.
Institutional Special Needs Plan (I-SNP) Enrollment and Outcomes in Long-Term Care Settings (May 2026)
This white paper examines how I-SNP enrollment is associated with healthcare utilization, spending, and quality outcomes among long-term care Medicare beneficiaries. It compares I-SNP enrollees to fee-for-service and non-I-SNP Medicare Advantage populations, using regression analysis across key measures like hospitalizations, readmissions, spending, and mortality to assess outcome differences.
Improving Care for Medicare Beneficiaries in Long-Term Care
America faces rapidly growing demand for institutional elder care as the population ages, placing increasing strain on the long-term services and supports system. While home-based care is preferred, many seniors with complex medical needs ultimately require institutional care and often face challenges accessing comprehensive Medicare coverage. The article examines the role of Institutional Special Needs Plans (I-SNPs) and outlines policy opportunities to better meet the needs of institutionalized Medicare beneficiaries.
Top Trends That Will Shape the Skilled Nursing Sector in 2026
The skilled nursing sector enters 2026 on much stronger footing than a year ago, with the rollback of the federal staffing mandate removing a major source of uncertainty and allowing providers to refocus on stability and selective growth. However, policy and payment risks persist, including ongoing reimbursement reform, potential Medicaid cuts under the OBBBA, lighter—but less predictable—regulatory oversight, and continued Medicare Advantage expansion.
From CMS’ LEAD to Labor and Capital: Inside Core Pressures Shaping Nursing Homes
Nursing home operators aiming to maximize profits in 2026 should closely track which alternative care models states adopt. Experts at Health Dimensions Group say programs like CMS’s new Long-Term Enhanced ACO Design (LEAD) model, along with D-SNPs and I-SNPs, are positioned to deliver the strongest financial returns.
Is Managed Care Effective in Long-Term Care Settings? Evidence from Medicare Institutional Special Needs Plans
Using 12 million resident-quarters of data from 2016-2022, we exploit the timing of nursing homes’ I-SNP contracting to instrument for plan enrollment and estimate causal effects on hospitalization and other health outcomes.
MedPAC Report June 2025
The Medicare Payment Advisory Commission (MedPAC) Report to Congress on Medicare and the Health Care Delivery System.
Institutional Special Needs Plan (I-SNP) Enrollment and Outcomes in Long-Term Care Settings (Feb 2025)
Through funding from the American Health Care Association (AHCA), ATI Advisory (ATI) has explored the association between Institutional Special Needs Plan (I-SNP) enrollment and healthcare utilization, spending, and quality outcomes for long-term care residents enrolled in Medicare who had one or more nursing facility stays of 90 days or longer during the year.