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 Beneficiaries With SMI Who Used Telemental Health Services More Likely To Receive Follow-Up Care After Psychiatric Hospitalization
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Medicare Proposed Home Health Rule Cuts Reimbursement 4.2% For Calendar Year 2023
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Dual Eligibles Utilize Home Health Care At Twice The Rate Of Medicare-Only Beneficiaries
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Medicare & Social Security Trustees Reports Shortfall Projections—2028 For Medicare & 2035 For Social Security

Approximately 25% of Medicare Shared Savings Program (MSSP) accountable care organizations (ACOs) had formal home-based care programs according to a survey conducted in late 2019. Another 25% of MSSP ACOs … Continued Read
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Latest Resources
- Entira Family Clinics, Richfield Medical Group & agilon health Partner To Launch Value-Based Primary Care Model In Minnesota
- Oklahoma Behavioral Health System: An OPEN MINDS State Profile
- Florida Blue Medicare & Prime Therapeutics PBM Pilot Reduced Chronic Opioid Prescriptions By 7%
- Idaho To Bid Out Its Medicaid Dual Programs In 2023
- Maine Long-Term Services & Supports System: An OPEN MINDS State Profile
- Wisconsin Long-Term Services & Supports System: An OPEN MINDS State Profile
- Kentucky Long-Term Services & Supports System: An OPEN MINDS State Profile
- Medicare Proposes Easing Supervision Requirements For ‘Incident To’ Behavioral Health Services
- CMS Proposes Advanced ACO Shared Savings Payments For Social Needs
- Indiana Long-Term Services & Supports System: An OPEN MINDS State Profile
- Clover Health To Offer Medicare Advantage Plans In 13 New Markets In Three States For 2023
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Most Popular
Latest Industry Bulletins
- Entira Family Clinics, Richfield Medical Group & agilon health Partner To Launch Value-Based Primary Care Model In Minnesota
- Clover Health To Offer Medicare Advantage Plans In 13 New Markets In Three States For 2023
- MTM To Acquire Medicaid Non-Emergency Transportation Company Veyo
- CMS Updates Medicare Website To Improve Ease Of Use
- Oak Street Health To Enter Colorado In 2022, Continues Expansions In Georgia, Kentucky & Michigan
Latest Industry News
- Florida Blue Medicare & Prime Therapeutics PBM Pilot Reduced Chronic Opioid Prescriptions By 7%
- Idaho To Bid Out Its Medicaid Dual Programs In 2023
- Medicare Proposes Easing Supervision Requirements For ‘Incident To’ Behavioral Health Services
- CMS Proposes Advanced ACO Shared Savings Payments For Social Needs
- Medicare Proposes Addiction Treatment Coverage Change—Mobile Opioid Treatment & Buprenorphine Telehealth Treatment