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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Medicare Launching ‘Value In Opioid Use Disorder Treatment’ Demonstration In April 2021
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CMS Launches New Acute Care Hospital-At-Home Waiver Program
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Most Medicare Beneficiaries Do Not Receive Cognitive Assessments
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Median Annual Health Care Costs Of Medicare Beneficiaries Triple In Year After A Fall
‘Leaning In’ To Medicare: Social Needs Opportunities
On March 31, 2021, Cricket Health launched a new value-based kidney care program designed to help Medicare Advantage manage members with end-stage kidney disease (ESKD). Until January 1, 2021, Medicare … Continued Read
- Advocacy Group ‘Moving Health Home’ Formed To Make Medicare Pandemic-Driven Home Health Rules Permanent
- Iowa Behavioral Health Care System: An OPEN MINDS State Profile
- Over Half Of Medicare Beneficiaries At High Risk Of Hospitalization Do Not Take Medication Regularly Due To Cost Concerns
- CMS Pauses Geographic Direct Contracting Model
- Geriatric Emergency Department Programs Cut Medicare Costs
Latest Resources
- Cricket Health Launches Kidney Care Management Program For Medicare Advantage Plans
- Illinois Long-Term Services & Supports System: An OPEN MINDS State Profile
- Medicare Advantage Insurer Alignment Healthcare Goes Public
- Kaiser Permanente Rolls Out Member Remote Monitoring Service
- Half Of Health Care Professionals Use Health Information Exchange For Referrals
- How Many Consumers Select Their Provider Based On Immediate Appointment Scheduling?
- Medicare Physician Payments Down 19% In First Half Of 2020
- North Carolina Long-Term Services & Supports System: An OPEN MINDS State Profile
- HHS Blocked On Further Implementation Of 340B Drug Pricing Program Rule On Resolving Disputes Between Manufacturers & Safety Net Provider Organizations Using Contract Pharmacies
- California Sues Brookdale Senior Living For Allegedly Filing False Staffing Data To Inflate Nursing Home Compare Quality Rating
- One-Third Of Adults Under 62 & Receiving Dialysis Switched Prematurely From An Employer Health Plan To Medicare
- Massachusetts Long-Term Services & Supports System: An OPEN MINDS State Profile
- December 2020 Appropriations Act Allows Medicare To Continue Payment For Mental Health Telehealth But Requires In-Person Visit
- 13.9% Of 65+ Medicare Beneficiaries Have Prescriptions For 2+ Psychotropic Medications
- Incidence Of Dementia In Older Adults Is Nearly 12 Times Higher For Consumers With Schizophrenia
Most Popular
- Medicare Announces 51 Entities Participating In The Direct Contracting Model For Global, & Professional Options Implementation Period
- CMS Pauses Geographic Direct Contracting Model
- California Sues Brookdale Senior Living For Allegedly Filing False Staffing Data To Inflate Nursing Home Compare Quality Rating
- Private Equity Nursing Home Ownership Linked To 10% Higher Medicare Short-Term Mortality Rates
Latest Industry Bulletins
- Medicare Advantage Insurer Alignment Healthcare Goes Public
- One-Third Of Hospitals Were Highly Transparent With Posting Their Payer-Negotiated Rates Per A New Rule
- Vytalize Health To Acquire Consumer Experience Platform Medpilot
- Risk-Based Senior Health Care Organization, Perfect Health Unites Operations With ConcertoHealth
- Gateway Health Plan & Bridges Health Partners Form ACO
Latest Industry News
- Cricket Health Launches Kidney Care Management Program For Medicare Advantage Plans
- Kaiser Permanente Rolls Out Member Remote Monitoring Service
- Half Of Health Care Professionals Use Health Information Exchange For Referrals
- Medicare Physician Payments Down 19% In First Half Of 2020
- HHS Blocked On Further Implementation Of 340B Drug Pricing Program Rule On Resolving Disputes Between Manufacturers & Safety Net Provider Organizations Using Contract Pharmacies
