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 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
• 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
• Ohio Advances Statewide MyCare Expansion With Phase 2 FIDE-SNP Rollout
• Nevada Medicaid Issues Notices Of Intent To Award CO D-SNP Contracts To Five Health Plans
• OIG Finds Nursing Homes Inappropriately Diagnosed Residents With Schizophrenia To Mask Misuse Of Antipsychotic Drugs
• Nursing Homes’ Inappropriate Use Of Antipsychotic Drugs Poses A Risk To Residents

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

• CMS Accepting Applications For The $100 Million MAHA Elevate Lifestyle Medicine Pilots To Address Chronic Disease Through Whole Person Care, Nutrition & Physical Activity
• Higher Telemedicine Use By Medicare Mental Health Specialists Linked To Slight Increase In Rural Access
• U.S. Personal Health Care Spending By Age & Sex: 2020 Highlights
• Habitat Health With Kaiser Permanente Opens South Los Angeles PACE Center For Adults Age 55 & Over
• At-Risk Medicare Advantage Plans Showed Better Outcomes For Dual Eligibles Than Traditional Medicare

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