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.

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Medicare Home Health Admissions In 2021 Were 5% Below Pre-COVID-19 Levels
Admissions From Emergency Departments Increased 9% For Medicare Fee-For-Service Beneficiaries In 2020
From March 2020 To March 2021, Mean Out-Of-Pocket Cost-Sharing For COVID-19 Hospitalizations Was $3,998 For Private Insurance & $1,638 For Medicare Advantage
CMS Proposes More Integration In D-SNPs For Medicare & Medicaid Dually Eligible Population

Cigna Expands RecoveryOne Partnership To Tennessee Medicare Advantage Members

The long-term services and support (LTSS) population refers to individuals with long-term conditions, disabilities, or chronic impairments that require routine assistance. Enrollment in LTSS falls into four broad categories—the elderly, the … Continued Read