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
- Nebraska Dual Eligible System: An OPEN MINDS State Profile
- 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 10-State 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
Consistent care coordination for seniors covered under Medicaid Advantage (MA) resulted in improved outcomes for hospital readmission, inpatient admissions, and medication use and adherence, compared to those with traditional fee-for-service (FFS) Medicare. After adjustments for baseline differences between the MA and FFS populations, researchers found that: MA beneficiaries have a hospital readmission rate about 70% lower than for fee-for-service beneficiaries. MA Members have 24% fewer preventable hospitalizations than those in FFS. Preventable chronic hospitalizations are… Read
- New Contracts, New Services, New Plans – The YTD Update
- 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
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