What is Medicare?

Medicare is a national health insurance program in the United States, that provides coverage to people who are 65 years of age or older, some people with disabilities, and people with End-Stage Renal Disease (ESRD).

It was created in 1965 as part of the Social Security Act and is funded by payroll taxes, premiums, and general tax revenues.

Medicare is divided into four parts:

1. Part A (Hospital Insurance) covers inpatient hospital care, skilled nursing facility care, hospice care, and some home health care.
2. Part B (Medical Insurance) covers outpatient medical services, such as doctor visits, laboratory tests, and medical equipment.
3. Part C (Medicare Advantage) is an alternative to traditional Medicare, offered by private insurance companies. It covers the benefits of Parts A and B and may also include additional benefits such as
4. prescription drug coverage.
5. Part D (Prescription Drug Coverage) covers prescription drugs and is offered by private insurance companies, approved by Medicare.

Medicare is an important component of the U.S. healthcare system, providing coverage to millions of people and helping to reduce financial barriers to care.

However, it also faces challenges, such as rising costs and limited benefits, that need to be addressed to ensure its sustainability and effectiveness.

Vim connects Medicare Advantage plans to the point of care to improve quality, risk adjustment, and provider experience. Integrating Diagnosis and Quality Gaps directly into EHR workflow replaces manual portal and data transfer workflows, saving provider teams time and improving Medicare Advantage results.