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.

Latest Resources

• CMS To Exclude Unsupported Diagnoses From Medicare Advantage Risk Scores Starting In 2027
• Hospital-At-Home Associated With Similar Or Better Short-Term Clinical Outcomes Compared With Traditional Inpatient Care
• CMS Imposes Nationwide Six-Month Moratorium On New Hospice & Home Health Enrollment
• U.S. Health Insurance Enrollment Declined By 2.3 Million Between 2024 & 2025
• Primary Care Visit Rates Among Medicare Beneficiaries Declined 10% Between 2017 & 2023
• Medicare Advantage Organizations, Prescription Drug Plan Sponsors, & Other Interested Parties: Announcement Of Calendar Year (CY) 2027 Medicare Advantage (MA) Capitation Rates & Part C & Part D Payment Policies
• CMS Launches $50 GLP-1 Medication Demonstration Program For Medicare Beneficiaries
• Nevada Hospital Ends Inpatient Care, Converts To Rural Emergency Status
• Medicare Part D Subsidy Expansion Reduces Medication Non-Adherence By 5.5 Percentage Points
• CMS To Launch Medicare ‘App Library’ For Interoperable Digital Health Care Tools
• National Health Expenditure Fact Sheet
• Medicare & Medicaid By The Numbers
• ACO REACH Model List Of Performance Year 2026 Participants
• Shared Savings Program Fast Facts – As Of January 1, 2026
• CMS List Of First Wave Of Health Tech Ecosystem Pledge Companies

See All

Higher Telemedicine Use By Medicare Mental Health Specialists Linked To Slight Increase In Rural Access

Medicare mental health specialists with high uptake of telemedicine mental health services between 2018 and 2023 had a 0.88 percentage point higher share of services provided to fee-for-service (FFS) beneficiaries in rural areas, compared to mental health specialists in the lowest telemedicine uptake quartile, according to a recent study. Much of the increase in rural service use was due to existing patients moving farther away from their specialists, rather than new rural beneficiaries seeking out… Read

• Tuesday Health Expands National Footprint With Humana Partnership To Advance Value-Based Palliative Care
• CMS Proposes New Measures To Strengthen Hospice Oversight & Prevent Fraud
• CMS Center For Program Integrity Crushing Fraud: Annual Report 2025 January 1 – December 31, 2025
• CMS Request For Information (RFI) Related To Comprehensive Regulations To Uncover Suspicious Healthcare (CRUSH)
• TenderHeart Advances Value‑Based Durable Medical Equipment Models Aligned With CMS Priorities To Reduce Fraud, Waste & Abuse

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