The Medicare Diabetes Prevention Program has enrolled less than 1% of eligible beneficiaries since 2018 due to administrative, referral, and awareness challenges despite proven effectiveness. CMS changes aim to improve access and provider reimbursement.
CMS introduces the ACCESS Model to enhance chronic care for Medicare beneficiaries using digital health tools and outcome-based payment models starting in 2026.
CMS announces the ACCESS Model, a 10-year initiative starting in 2026 to advance technology-supported, outcomes-based care for Medicare beneficiaries with chronic conditions, emphasizing performance-driven payments and regulatory compliance.
CMS will end the kidney care payment model early and adjust Medicare home health reimbursements in 2026. A new 10-year program supports tech adoption for chronic disease management.
Right at Home in West Virginia introduces a Medicare-funded program providing respite care for seniors with dementia, Parkinson's, and Alzheimer's. The initiative offers tailored care plans to support family caregivers managing chronic neurological conditions.
Explore how AI-powered predictive analytics improve diabetes management and reduce Medicare costs through personalized patient adherence interventions.
Explore how frequent health insurance churn in the U.S. reduces insurers' incentives to invest in preventive care and chronic disease management, worsening health outcomes and increasing costs.
Priority Health expands beyond traditional coverages by embracing whole-person care and digital partnerships, addressing chronic conditions and simplifying member navigation in health plans.
Clover Health partners with IPC Digital Health to launch an AI-driven community pharmacy pilot in New Jersey, enhancing medication adherence and chronic care for Medicare Advantage members.
UnitedHealthcare's HouseCalls program enhances Medicare Advantage with comprehensive in-home visits, reducing costs and improving outcomes. Explore how this model supports preventive care and chronic condition management for seniors.