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
- Humana Inc. Collaborates With CINQCARE To Add Home Care Model For Medicare Advantage Members
- Medicare Finalizes Coding For Family Caregiver Training To Help Beneficiaries Carry Out Treatment Plans
- Medicare Advantage VBID Model Associated With Higher Quality Of Care & Improved Beneficiary Adherence To Treatment
- Medicare Expands Coverage Of PET Imaging In Alzheimer’s Diagnosis
Latest Resources
- PACE Operator InnovAge Enters Florida
- CMS Adjusts Medicare Policy To Offer Accelerated Payments To Respond To The Change Healthcare Cyberattack, Urges State Medicaid Programs Do The Same
- Medicare Provides Emergency Funds To Physicians Affected By Change Healthcare Hack
- Illinois’ DuPage County Seeks Medicaid/Medicare Cost Reporting Services
- Medicaid – Navigating The Shifting Tides
- Oregon Dual Eligible System: An OPEN MINDS State Profile
- Texas Dual Eligible System: An OPEN MINDS State Profile
- CMS To Require Money Follows The Person States To Begin Early Reporting On Medicaid HCBS Quality Measures
- Humana Reports Screening Of New Medicare Advantage Members Found Nearly 20% With Low/Limited Health Literacy
- CMS Changes Position, Allowing Hospitals To Coordinate Care By Text
- Medicare Beneficiaries Average 21 Days Per Year Of Health Care Encounters
- Virginia Dual Eligible System: An OPEN MINDS State Profile
- CMS Clarifies The Use Of AI In Medicare Advantage Prior Authorization Decisions Cannot Be Used To Deny Health Care Coverage
- Elevance Health Sues HHS Over Medicare Advantage Star Ratings Calculation Changes
- Opening Doors To Better Health: The Power Of Integrated Care & ‘No Wrong Door’ Access
Black Medicare Beneficiaries Less Likely To Be Referred For Home Health Care, At 22% Compared To 26%
Have you ever stood in line at the DMV and then, when you finally reach your destination, you’re told you’ve been standing in the wrong line the whole time? And of course, you don’t get bumped to the front of the correct line, you are sent to the back to start all over. Now imagine you’re standing in that line when you don’t feel well. We know that’s what it’s like for many individuals trying… Read
- Ohio Dual Eligible System: An OPEN MINDS State Profile
- Georgia Dual Eligible System: An OPEN MINDS State Profile
- I/DD-Focused Partnership Solutions Acquires Medicare ACO, Alliance For Integrated Care Of New York
- Blue Cross Blue Shield Of Arizona Partners With Monogram Health To Improve Chronic Kidney Disease Outcomes
- Class-Action Lawsuit Accuses Humana Of Using AI Algorithms To Restrict Access To Post-Acute Rehabilitation Services
Latest Industry Bulletins
- PACE Operator InnovAge Enters Florida
- Medicare Provides Emergency Funds To Physicians Affected By Change Healthcare Hack
- I/DD-Focused Partnership Solutions Acquires Medicare ACO, Alliance For Integrated Care Of New York
- Blue Cross Blue Shield Of Arizona Partners With Monogram Health To Improve Chronic Kidney Disease Outcomes
Latest Industry News
- CMS Adjusts Medicare Policy To Offer Accelerated Payments To Respond To The Change Healthcare Cyberattack, Urges State Medicaid Programs Do The Same
- CMS To Require Money Follows The Person States To Begin Early Reporting On Medicaid HCBS Quality Measures
- Humana Reports Screening Of New Medicare Advantage Members Found Nearly 20% With Low/Limited Health Literacy
- CMS Changes Position, Allowing Hospitals To Coordinate Care By Text
- Medicare Beneficiaries Average 21 Days Per Year Of Health Care Encounters