CoverRight leverages digital tools and partnerships to simplify Medicare enrollment ahead of the 2024 deadline, easing consumer access to plan comparisons and support.

The AMA endorses CMS's ACCESS Model, promoting technology-enabled care for chronic conditions in Medicare patients, aiming to improve outcomes and modernize disease management.

Curative Health Insurance raised $150M in Series B funding, valuing the company at $1.25B. The capital supports national expansion and AI-driven health insurance plan enhancements.

CMS introduces the ACCESS Model, a voluntary Medicare Part B demonstration offering Outcome-Aligned Payments for technology-enhanced chronic care. The model supports providers managing chronic conditions like diabetes and hypertension, emphasizing care coordination and outcome-based reimbursement.

Home health providers face challenges shifting from fee-for-service to value-based care due to payer demands and regulatory pressures. Innovative payment models and care delivery adaptations are key to success.

CMS introduces ACCESS model to enhance technology-supported care and outcome-based payments for Medicare patients with chronic conditions starting in 2026.

Beginning January 2026, six states will pilot an AI-driven prior authorization program in traditional Medicare to target fraud and waste, sparking industry concerns over increased claim denials and access delays.

Moses Dixon leads Senior Connection in expanding healthcare access for older adults through innovative mobile clinics and housing initiatives amid Medicaid cuts and ACA changes.

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CVS Health's Aetna expands its Clinical Collaboration program to ten hospitals by 2025, targeting reductions in Medicare Advantage hospital readmissions and length of stay through embedded nursing care during discharge transitions.