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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Home Benefits Surge In Popularity Among Medicare Advantage Plans
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Medicare Beneficiaries Who Say They Have Poor Mental Health Are Less Likely To Receive Routine Health Care
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Medicare Advantage Plans Increased Spending On 2-Sided Risk Models In 2021
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25% Of Humana Medicare Advantage Members Had Both Mental Illness & A Health-Related Social Need

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- Hospital Networks With Vertically Integrated SNFs Had Lower Hip Replacement Readmission Rates
- The ACO SNF Admission Waiver Linked To Shorter SNF Stays & Higher Discharge To Home
- One-Third Of Dual Eligibles Over Age 65 Had Diabetes In 2020
- Ohio Long-Term Services & Supports System: An OPEN MINDS State Profile
- Texas Long-Term Services & Supports System: An OPEN MINDS State Profile
Latest Resources
- Aledade Joins Cigna Medicare Advantage Network In Delaware, Maryland & D.C.
- Plan To Keep Medicare Solvent For Another 25 Years Relies On Increasing Medicare Tax Rates From 3.8% To 5% For People Earning $400,000 & Above
- Traditional Medicare Beneficiaries Spent An Average Of $6,663 On Premiums & Health Care Services In 2019
- Almost Half of All Medicare Beneficiaries Enrolled In Medicare Advantage In 2023
- Starter Kit For No Wrong Door/Single Entry Point Systems Working To Strengthen The Home & Community-Based Direct Service Workforce
- Issue Brief: Connecting Older Adults & Persons With Disabilities With Personal Care Assistance: The Potential Of NWD/SEPs As Hosts For Publicly-Funded Matching Service Registries
- Issue Brief: Opportunities For No Wrong Door/Single Entry Point Systems To Strengthen The Home & Community-Based Direct Service Workforce
- Medicare Advantage Associated With Decreases In Hospitalization
- HEDIS & More
- Oregon Long-Term Services & Supports System: An OPEN MINDS State Profile
- Alabama Long-Term Services & Supports System: An OPEN MINDS State Profile
- ACO Health Partners In Florida Contracts With Spatially Health For Tech To Identify Members’ SDoH Barriers
- Feds To Test Three New Models Aimed At Lower Generic & Novel Drug Costs
- The Coming Medicare Cost Problem
- 2022 Annual Report Of The Boards Of Trustees Of The Federal Hospital Insurance & Federal Supplementary Medical Insurance Trust Funds
Most Popular
Latest Industry Bulletins
- Aledade Joins Cigna Medicare Advantage Network In Delaware, Maryland & D.C.
- ACO Health Partners In Florida Contracts With Spatially Health For Tech To Identify Members’ SDoH Barriers
- Virginia Mason Franciscan Health, In Tacoma, Washington, Launches New At-Home Recovery Program In Collaboration With Contessa
- Signify Health & Ardent Health Services To Expand Collaboration & Will Join A Signify ACO
- SCAN Group & CareOregon To Combine As HealthRight Group
Latest Industry News
- Plan To Keep Medicare Solvent For Another 25 Years Relies On Increasing Medicare Tax Rates From 3.8% To 5% For People Earning $400,000 & Above
- Traditional Medicare Beneficiaries Spent An Average Of $6,663 On Premiums & Health Care Services In 2019
- Almost Half of All Medicare Beneficiaries Enrolled In Medicare Advantage In 2023
- Medicare Advantage Associated With Decreases In Hospitalization
- Feds To Test Three New Models Aimed At Lower Generic & Novel Drug Costs