Payer Systems

H.R. 6199 Expands Medicare Nutrition Therapy Access
Management & Administration H.R. 6199 Expands Medicare Nutrition Therapy Access

Imagine a world where a simple change in diet could significantly reduce the burden of chronic diseases for millions of older Americans, yet access to expert nutritional guidance remains out of reach for many. This is the stark reality for countless Medicare beneficiaries who struggle with

Can Integrated Care Transform Chronic Condition Management?
Management & Administration Can Integrated Care Transform Chronic Condition Management?

Imagine a health care system where patients with multiple chronic conditions no longer fall through the cracks, where fragmented care and conflicting advice are replaced by seamless coordination and personalized support. This vision is becoming a reality for many as over a quarter of US adults

Quebec's Bold Health Reforms Shake Up Canadian Medicare
Management & Administration Quebec's Bold Health Reforms Shake Up Canadian Medicare

Imagine a healthcare system so strained that patients wait months, sometimes years, for life-changing surgeries or even a simple appointment with a family doctor—welcome to the reality facing Canadians today. Across the nation, the medicare framework, once a source of pride, is buckling under the

How Can Home Health Providers Succeed in Value-Based Care?
Management & Administration How Can Home Health Providers Succeed in Value-Based Care?

The home health sector stands at a critical crossroads as it navigates a monumental shift from the long-standing fee-for-service (FFS) model to the more outcome-driven value-based care (VBC) framework, particularly within managed care systems like Medicare Advantage (MA). This transformation,

Reema Health Secures $19M to Expand Medicaid Engagement
Management & Administration Reema Health Secures $19M to Expand Medicaid Engagement

Imagine a healthcare system where the most vulnerable populations, often overlooked by traditional outreach, are not just reached but deeply connected with, leading to better health outcomes and lower costs. This is the vision driving Reema Health, a trailblazing platform that has just raised $19

How Does Switching to Traditional Medicare Impact Mental Health Care?
Management & Administration How Does Switching to Traditional Medicare Impact Mental Health Care?

Imagine a 68-year-old retiree, grappling with chronic depression, who finds themselves unable to see a psychiatrist under their Medicare Advantage plan due to a frustratingly narrow network of providers. After months of delays and denials for critical care, they make the leap to Traditional

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