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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• Health Data, Technology & Interoperability (HTI-4) Final Rule
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• Medicare Advantage Beneficiaries Face Longer Hospital Stays Prior To Discharge Than Those With Traditional Medicare
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Telehealth Flexibilities Did Not Increase Outpatient Medicare FFS Visit Volume, But Did Result In Lower Post-Visit Costs

After Medicare eased telehealth restrictions during the COVID-19 public health emergency, telehealth visits among fee-for-service (FFS) beneficiaries rose during 2020, but then stabilized in 2021 and beyond. The increased volume of telehealth visits was not associated with an increase in the volume of outpatient evaluation and management (E&M) visits. Telehealth-initiated episodes of care were associated with lower use of lab tests and imaging compared to in-person visits. Telehealth visits were associated with lower 30-day Medicare… Read

• CMS Extends AHEAD Model Through 2035 With New Requirements For States
• WelbeHealth Announces Opening Of Two New PACE Centers, In Sacramento County & San Bernardino County, California
• A Place At Home Enhances Dementia Care With PocketRN Partnership
• Medicare Coverage Of GLP-1 Medications For Obesity Could Raise Net Spending By $47.7 Billion Over 10 Years
• Rates Of Leaving Acute-Care Hospitalizations Against Medical Advice Rose For Medicare Beneficiaries From 2006 Through 2019, Then Spiked During COVID

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