Medicare

Medicare's ACCESS pilot is live, but patients can't find which providers offer it

CMS launched its tech-enabled chronic care pilot and the FDA's AI device authorizations hit 115 in 2021, yet a critical gap remains: patients don't know where t

CMS centralizes AI and interoperability under a new Office of Health Technology and Products

CMS has launched the Office of Health Technology and Products to consolidate AI, interoperability, and digital product strategy across Medicare, Medicaid, and C

CMS launches dedicated health technology office as AI and interoperability pressure mounts on hospital IT teams

CMS's new Office of Health Technology and Products centralizes AI, interoperability, and digital health strategy, raising the stakes for hospital IT and procur

Caregiver Engagement Is the Missing Link in Dementia Care: Why Empowering Families Drives Better Outcomes and Lower Costs

Dementia is becoming one of healthcare’s most difficult problems to ignore. As the population ages, more families are finding themselves responsible for loved ones who can no longer manage their own care, communicate symptoms clearly, or navigate the healthcare system. Research shows that people living with dementia are hospitalized far more often than those without it—even…

Simplifying the Complex: Actionable Systems Lead to Clarity, Confidence, and Success

Simplifying the complex has become a defining advantage in today’s professional world—whether you’re navigating Medicare, building a business, or pursuing professional growth. According to a 2024 PwC study, more than half of employees feel there is too much change happening at work all at once, and 44% don’t understand the reasons for the changes….

SHMS Optimizes Operations for Medicare Advantage Plan Operators in the Healthcare Payer Enterprise

Enrollment in Medicare Advantage plans is projected to reach about 35.7 million, according to a 2025 Senate Finance Committee report. Yet, many startup and midsize organizations face steep technical and regulatory hurdles when launching or scaling operations. As part of the broader healthcare payer enterprise landscape, these plans must manage compliance, claims adjudication, risk adjustment,…

The ROI of Empathy: How Compassion Drives Growth in Dementia Care

As dementia diagnoses rise at an alarming rate, affecting 57 million people worldwide, healthcare providers face the challenge of offering compassionate, cost-effective support at scale. A new program from CMMI, GUIDE (Guiding an Improved Dementia Experience), aims to tackle this head-on, allowing organizations to bring next-generation dementia care models to traditional Medicare populations. With…

MedPAC’s Miss on Reality of Home Health Financial Reality Results in Suggested Cut in 2025 Proposed Rule

Federal payment cuts proposed for home health ignore the sector's actual financial pressures, threatening access to essential care

Care Beyond Medicine: How Papa Combats Elderly Isolation by Connecting Seniors with ‘Pals’

A growing elderly population faces isolation that medicine alone cannot solve, spurring demand for human connection alongside healthcare

Decoding Healthcare Finance: A Deep Dive with Dr. Cristian Leineck

Hospital leaders confront a financial crisis as mounting pressures from managed care and billing complexities threaten organizational viability