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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At-Risk Medicare Advantage Plans Showed Better Outcomes For Dual Eligibles Than Traditional Medicare
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Reinstatement Of Medicare’s Three-Day Rule Increased Hospital Length Of Stay
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Medicare Spending Projected To Double By 2036; Medicaid Spending To Rise By Half
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Medicare Advantage Forced Disenrollment Rate Increased From 1% To 10% By 2026
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
- Medicaid Foster Care Enrollment Updates, 2022-2024: An OPEN MINDS Market Intelligence Report
- 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
- 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
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Latest Industry Bulletins
- Tuesday Health Expands National Footprint With Humana Partnership To Advance Value-Based Palliative Care
- TenderHeart Advances Value‑Based Durable Medical Equipment Models Aligned With CMS Priorities To Reduce Fraud, Waste & Abuse
- Habitat Health With Kaiser Permanente Opens South Los Angeles PACE Center For Adults Age 55 & Over
- HHS & CMS Announce Nationwide Medicare & Medicaid Fraud Prevention Strategies
Latest Industry News
- CMS To Launch Medicare ‘App Library’ For Interoperable Digital Health Care Tools
- CMS Proposes New Measures To Strengthen Hospice Oversight & Prevent Fraud
- 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
