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
-
Medicare Launching ‘Value In Opioid Use Disorder Treatment’ Demonstration In April 2021
-
CMS Launches New Acute Care Hospital-At-Home Waiver Program
-
Most Medicare Beneficiaries Do Not Receive Cognitive Assessments
-
Median Annual Health Care Costs Of Medicare Beneficiaries Triple In Year After A Fall
‘Leaning In’ To Medicare: Social Needs Opportunities
In June 2021, the Centers For Medicare & Medicaid Services (CMS) published this document describing the health-related social needs (HRSN) Screening Tool from the Accountable Health Communities (AHC) Model and … Continued Read
- Cricket Health Launches Kidney Care Management Program For Medicare Advantage Plans
- Medicare Advantage Cost Burden On Beneficiaries Is Lower Than Medicare Fee-For-Service
- The Medicare Patient Driven Payment Model Increased SNF Payments By 5% In Fiscal Year 2020
- Proposed Rule: Medicare Program; Prospective Payment System & Consolidated Billing For Skilled Nursing Facilities; Updates To The Quality Reporting Program & Value-Based Purchasing Program For Federal Fiscal Year 2022
- Health Care At Home With Pizza Delivery? The Rising Dough
Latest Resources
- Florida Long-Term Services & Supports System: An OPEN MINDS State Profile
- A Guide To Using The Accountable Health Communities Health-Related Social Needs Screening Tool: Promising Practices & Key Insights
- Indiana Long-Term Services & Supports System: An OPEN MINDS State Profile
- Maryland Medicaid System: An OPEN MINDS State Profile
- Humana Partners With NowPow To Address Social Needs For Chicago-Area Medicare & Medicaid Members
- Optima Health Selects Ontrak For All Medicare & Medicaid Business
- Six Months After PDPM Implementation, SNF Therapy Staffing Time Down By 15%
- CMS The Accountable Health Communities Health-Related Social Needs Screening Tool
- Value In Addictions Treatment—What’s New? What’s Next?
- Between January 2020 & February 2021, 6% Of Medicare Beneficiaries Had COVID-19 & Over 1 Million Were Hospitalized For COVID-19
- CMS Notice Of Direct Contracting Entities Participating In Performance Year 2021 Of The Of The Global & Professional Direct Contracting (GPDC) Model
- 53 Organizations Participating In The Medicare Global & Professional Direct Contracting Model
- California Long-Term Services & Supports System: An OPEN MINDS State Profile
- Pennsylvania Long-Term Services & Supports System: An OPEN MINDS State Profile
- Medicare Is Reviewing Five Alternative Payment Models, Some Start Dates Are Delayed
Most Popular
- Humana To Open 100 New Medicare Primary Care Centers By 2023
- Medicare Announces 51 Entities Participating In The Direct Contracting Model For Global, & Professional Options Implementation Period
- Florida Blue Medicare Advantage Plan Partners With ‘Papa’ To Address Social Isolation In Seniors
- List Of Selected Applicants For CMS Opioid Use Disorder Value-In-Treatment Demonstration
Latest Industry Bulletins
- Humana Partners With NowPow To Address Social Needs For Chicago-Area Medicare & Medicaid Members
- Optima Health Selects Ontrak For All Medicare & Medicaid Business
- 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
Latest Industry News
- Six Months After PDPM Implementation, SNF Therapy Staffing Time Down By 15%
- Between January 2020 & February 2021, 6% Of Medicare Beneficiaries Had COVID-19 & Over 1 Million Were Hospitalized For COVID-19
- 53 Organizations Participating In The Medicare Global & Professional Direct Contracting Model
- Medicare Is Reviewing Five Alternative Payment Models, Some Start Dates Are Delayed
- Cricket Health Launches Kidney Care Management Program For Medicare Advantage Plans
