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
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I/DD-Focused Partnership Solutions Acquires Medicare ACO, Alliance For Integrated Care Of New York
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Operational Difficulties & Low Participation Cause CMS To End Medicare VBID Model Hospice Component As Of December 31, 2024
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Medicare ACOs To Receive $20 Million In Advance Investment Payments
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CMS Adjusts Medicare Policy To Offer Accelerated Payments To Respond To The Change Healthcare Cyberattack, Urges State Medicaid Programs Do The Same
Latest Resources
- The Hartford – Winning Contract For Short-Term & Long-Term Disability Program Services To Delaware State Employee Benefits Committee, 2024
- Highmark Delaware – Winning Contract For Employer-Sponsored Medicare Supplement Plan Services To Delaware State Employee Benefits Committee, 2024
- One-Third Of Behavioral Health Professionals Actively Served Medicare & Medicaid Enrollees In 20-County Review
- Final Nursing Home Minimum Staffing Rule Released, Three-Stage Phase-In To Begin In May 2024
- Curve Health & MindCare Partner On Behavioral Health In Skilled Living Facilities
- Illinois Dual Eligible System: An OPEN MINDS State Profile
- Dual Commercial-Medicare Health Coverage Declining Among Adults Age 65+
- Utah Dual Eligible System: An OPEN MINDS State Profile
- Prevalence Of CKD Highest In U.S. Regions With High Poverty
- Colorado Dual Eligible System: An OPEN MINDS State Profile
- Walgreens Plans To Close More VillageMD Locations
- North Carolina Dual Eligible System: An OPEN MINDS State Profile
- Massachusetts Dual Eligible System: An OPEN MINDS State Profile
- Consistent Care Coordination Improves Outcomes For Medicare Advantage Members
- New Contracts, New Services, New Plans – The YTD Update
The first quarter of 2024 brought a host of new developments in the markets serving high-needs consumers. The ‘must see’ developments include new contract awards reshaping the market, announcements of new services, and policy changes at the state and federal level. There were a host of new contract awards. The contracts look to expand access to managed care—to mental health and addiction treatment services, services for people with intellectual/developmental disability (I/DD), and school-based telehealth services. For… Read
- Medicare, Medicaid To Cover Wegovy For Consumers With Heart Disease
- 30% Of Surveyed D-SNPs Say States Mandate Which Supplemental Benefits Are Offered, Most Cover Optional Medicaid Benefits
- Alzheimer’s Dementia Prevalence Rises To 6.9 Million In 2024, Cost Of Care Up 4.2% To $360 Billion
- Clover Health & Quartet Health Partner On Clinical Program For SMI
- Clover Health Partners With Quartet Health For Medicare Members With Serious Mental Illness
Latest Industry News
- Consistent Care Coordination Improves Outcomes For Medicare Advantage Members
- 30% Of Surveyed D-SNPs Say States Mandate Which Supplemental Benefits Are Offered, Most Cover Optional Medicaid Benefits
- Alzheimer’s Dementia Prevalence Rises To 6.9 Million In 2024, Cost Of Care Up 4.2% To $360 Billion
- Clover Health Partners With Quartet Health For Medicare Members With Serious Mental Illness
- CMS Unveils Person-Centered Primary Care Model, ACO Primary Care Flex, For Low-Revenue ACOs