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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Increasing Medicare LTSS Benefits Could Cost Between $1 Billion & $13 Billion Per Year
24% Of Medicare Part D Beneficiaries Received Prescription Opioids In 2020
Medicare In-Home Primary Care Program For Beneficiaries With Chronic Illness Reduces Cost For Sixth Straight Year
47% Of Medicare Beneficiaries Lacked Dental Coverage In 2019

CMS Proposes Changes To The Medicare Diabetes Prevention Program To Boost Supplier Enrollment

During 2020, Humana Medicare Advantage members under the care of a physician in a value-based care (VBC) reimbursement arrangement had fewer hospitalizations and received more preventive services than Humana members … Continued Read