The flexible benefits and innovation in Medicare Advantage (MA) have led to the creation of new opportunities in senior living, care delivery, and care coordination. In turn:

• Decisions about access and coverage will shift more to MA payers' discretion, leading to winners and losers across the industry.
• Shifts to higher quality, lower cost care influences the future of value-based care.

Many organizations — from MA plans to new market entrants — are looking to new care models to improve care for seniors. Promising changes are emerging in two key areas:

• Home-based care and other in-home supports to help seniors age in place. 
• Increased care coordination and preventive care through senior-focused primary care and Special Needs Plans.

The older adult population is becoming larger, more racially diverse, and more medically complex. These changes challenge the rapidly depleting Medicare Trust Fund and:

• Force decision-makers to cut reimbursements or increase premiums.
• Create opportunities for healthcare organizations to invest in specialized or dedicated services that better serve subpopulations.