Medicare
The Medicare program is a health insurance program funded by the federal government for older adults, aged 65 and above, as well as younger individuals who have disabilities or end-stage renal disease. There are both strategic opportunities and challenges for health and human service provider organizations serving Medicare beneficiaries, who often have complex health and social support needs. As a result, Medicare plans are looking for innovative services and initiatives that demonstrate a return-on-investment in spending and consumer outcomes.
Editor’s Picks
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I/DD-Focused Partnership Solutions Acquires Medicare ACO, Alliance For Integrated Care Of New York
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Operational Difficulties & Low Participation Cause CMS To End Medicare VBID Model Hospice Component As Of December 31, 2024
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Medicare ACOs To Receive $20 Million In Advance Investment Payments
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CMS Adjusts Medicare Policy To Offer Accelerated Payments To Respond To The Change Healthcare Cyberattack, Urges State Medicaid Programs Do The Same
Latest Resources
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- Massachusetts Dual Eligible System: An OPEN MINDS State Profile
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- 30% Of Surveyed D-SNPs Say States Mandate Which Supplemental Benefits Are Offered, Most Cover Optional Medicaid Benefits
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- Clover Health Partners With Quartet Health For Medicare Members With Serious Mental Illness
- CMS Unveils Person-Centered Primary Care Model, ACO Primary Care Flex, For Low-Revenue ACOs
- ACO Primary Care Flex Model: Model Overview Factsheet
- Iowa Behavioral Health Care System: An OPEN MINDS State Profile
Published in March 2024, this report provides in-depth market intelligence on Iowa’s behavioral health system and provides all the market data, analysis, and “insider” insights executive teams need to inform a strategic plan, talk to Iowa’s stakeholders, and analyze the market for new opportunities. This report includes: Behavioral Health Care Coverage Map – A chart illustrating the state’s serious mental illness (SMI) health care coverage breakdown by the Medicaid, Medicare, dual eligibles, commercial insurance, and… Read
- New York Dual Eligible System: An OPEN MINDS State Profile
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- HealthPartners – Winning Contract For Medicare Prepaid Health Care Services To Eligible Individuals Through The Senior Health Options & Senior Care Plus To Minnesota Department Of Human Services, 2024
- Blue Plus – Winning Contract For Medicare Prepaid Health Care Services To Eligible Individuals Through The Senior Health Options & Senior Care Plus To Minnesota Department of Human Services, 2024
Latest Industry News
- Consistent Care Coordination Improves Outcomes For Medicare Advantage Members
- 30% Of Surveyed D-SNPs Say States Mandate Which Supplemental Benefits Are Offered, Most Cover Optional Medicaid Benefits
- Alzheimer’s Dementia Prevalence Rises To 6.9 Million In 2024, Cost Of Care Up 4.2% To $360 Billion
- Clover Health Partners With Quartet Health For Medicare Members With Serious Mental Illness
- CMS Unveils Person-Centered Primary Care Model, ACO Primary Care Flex, For Low-Revenue ACOs