Medicare Advantage (MA) plans are at a pivotal moment. First launched in 1997, these managed care alternatives for Medicare beneficiaries were designed to reduce costs and improve outcomes.

Annual Wellness Visits (AWVs) have been shown to reduce healthcare expenses by 5.7% for Medicare beneficiaries. In addition to reducing future costs, AWVs provide an opportunity to assess a patient’s health risks and create a personalized prevention plan.

The Centers for Medicare & Medicaid Services (CMS) released the Final Rule for its 2025 Medicare Physician Fee Schedule. It includes a significant change for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).

In 2019, the Center for Medicare and Medicaid Services (CMS) launched its Remote Patient Monitoring (RPM) program, to reimburse providers for using digital technology to monitor patients between visits. The program covers collecting and transmitting patient clinical data. It also supports a clinician’s time to review the data and intervene if it indicates a harmful clinical change.

The Centers for Medicare & Medicaid Services (CMS) has released the Final Rule for its 2025 Medicare Physician Fee Schedule. According to a CMS fact sheet, this update continues efforts to strengthen primary care, support preventive care, and promote better access to behavioral health.

The Centers for Medicare & Medicaid Services (CMS) launched the Guiding an Improved Dementia Experience (GUIDE) Model on July 1, 2024. Running from 2024 through 2032, this program is one of the first Innovation Center care models to focus on longitudinal, condition-specific comprehensive care.

The Centers for Medicare & Medicaid Services (CMS) has released the proposed rule for its 2025 Medicare Physician Fee Schedule.

The Centers for Medicare & Medicaid Services (CMS) has released the Final Rule for its 2024 Medicare Physician Fee Schedule (PFS).

Medicare’s Annual Wellness Visit (AWV) can be instrumental in improving care quality for older adults. This yearly assessment captures information about a patient’s health and functioning to document disease and identify new or worsening risk factors.