Medicare Beneficiary Growth and State-Level Spending Patterns Across the U.S.
Analyze Medicare beneficiary growth and state-level spending with insights on senior health risks, ER visits, and inpatient services across the U.S.
CCGroup Selected to Build Specialist Referral Network for Multi-State Medicare ACO
Cave Consulting Group partners with a multi-state Medicare ACO to implement a Specialist Golden Referral Network aimed at reducing elective procedure variation and improving care quality through specialist efficiency analytics.
CMS Renews Contract with Quest Analytics for Medicare Advantage Network Oversight
The Centers for Medicare & Medicaid Services renews Quest Analytics contract to enhance Medicare Advantage network adequacy reviews and compliance oversight for better access to care.
TEAM Model Poised to Reshape Post-Acute Care with Varying Provider Readiness
Skilled nursing and hospital readiness varies as the CMS-initiated TEAM bundled payment model launches in 2026, impacting post-acute care coordination, financial risk, and value-based contracting in U.S. healthcare.
Medicare Telehealth Use Substitutes Rather than Adds to Care, Analysis Finds
New analysis of 1.67M Medicare beneficiaries shows telehealth primarily substitutes in-person visits, stabilizing overall utilization. Key insights for policy and healthcare delivery.
Verisk Analytics Drives Vertical Integration in Life and Annuity Insurance Tech
Verisk Analytics leads vertical integration in life and annuity insurance technology with data-driven platforms enhancing underwriting, payment processing, and healthcare analytics.
Texas Palliative Care Model Cuts Hospitalizations Over 50% Using Data Analytics
Innovative Texas palliative care model leverages data analytics to reduce hospitalizations over 50%, enhancing outcomes and lowering costs for Medicare Advantage plans.
Johns Hopkins ACG® System Enhances Population Health Analytics for Over 250 Million Weekly
The Johns Hopkins ACG System is a leading population health analytics tool used globally to improve care for over 250 million people weekly, integrating clinical and social data to advance health equity and risk adjustment.
Reveleer Expands AI-Driven Value-Based Care Platform with Novillus Acquisition
Reveleer acquires Novillus to enhance its AI-driven value-based care platform, improving payer-provider collaboration, care gap closure, and clinical intelligence for health plans.