Medicare & Medicaid
Improving Coverage, Access, and Program Performance
How do we help Medicaid programs work better for the people they serve?
Medicaid programs operate in an environment of continual change, balancing federal requirements with the practical realities of serving members.
Altarum partners with federal and state agencies to strengthen Medicaid programs and improve access to care. We evaluate programs and analyze policy, then provide technical assistance to support implementation of state and federal changes, with a focus on the individual member experience.
We support agencies as they navigate major transitions and build the capacity to implement and sustain program improvements that expand access and strengthen program performance.
Our work includes policy evaluation and program implementation support across key Medicaid priorities, including waiver programs, member outreach, and guidance that equips states to respond to evolving federal requirements. For example, our partnership with Kentucky's Department for Medicaid Services helped the state build a Beneficiary Advisory Council, meeting new CMS Access Rule requirements while giving Medicaid members a direct role in shaping state policy.
Through these activities, we advance health missions by helping partners turn evidence into action so the people they serve can access high-quality, affordable care long after Altarum’s engagement ends.
Explore our work below:
Our Medicare and Medicaid Expertise in Practice
Community Care Corps: Strengthening Support for Family Caregivers
Altarum serves as the Community Care Corps (C3) initiative's lead evaluation partner, helping identify what works and how successful models can be sustained and expanded.
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Helping Tennessee Expand D-SNP Enrollment
Tennessee needed support to strengthen its integrated care model for residents dually eligible for Medicare and Medicaid. Too often, this population faces fragmented care and complex benefit coordination.
The state turned to Altarum Medicare-Medicaid Services for States (AMMS) to help it meet evolving Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) regulations and better serve its residents.
- Up to 2,500% anticipated increase in FIDE SNP enrollment eligibility in 2026
- Workplan and communication strategy aligned with federal regulations through 2030
- Building state capacity and internal subject matter expertise
- Plain-language materials to help enrollees understand benefits
Working with Maine to Improve Programs for Dually Eligible Individuals
In partnership with Maine’s Department of Health and Human Services, Office on Aging and Disability Services, and Office of MaineCare Services, Altarum Medicare-Medicaid Services for States helped to strengthen programs serving individuals eligible for Medicare and Medicaid.
- Strategies to close service gaps and improve enrollee experience
- Essential training for state staff
- Enhanced oversight and integration of Medicare and Medicaid
Supporting Public Health Emergency (PHE) Unwinding in Kentucky
Altarum provides proactive operational planning support to help states prepare for changes in Medicaid operations and avoid any potential gaps in coverage for beneficiaries as the PHE ends.
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Altarum Medicare-Medicaid Services for States (AMMS)
AMMS helps states create financially sustainable solutions to advance health, wellness, and independent living for dually eligible individuals.
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Altarum Helps States Build Effective Beneficiary Advisory Councils
Altarum’s high-touch support helps states meet CMS requirements, establish BACs, and elevate member voices in Medicaid policy. Kentucky provides a model.
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