Medicare Advantage

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…

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,…

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