Longyear Health January 5, 2026
Robert Longyear

A New Approach to Chronic Disease Prevention in Medicare

The American health care system faces an escalating crisis that demands a fundamental rethinking of how we approach patient care. In 2022, approximately 45% of people with Medicare had four or more chronic conditions, while beneficiaries with chronic diseases accounted for nearly 90% of total health care spending. These statistics reveal a system primarily designed to treat symptoms and manage diseases after they develop rather than prevent them from occurring in the first place.

The current reactive model of care has created an unsustainable trajectory. Health care costs continue to rise while population health outcomes remain stagnant or decline. For decades, policymakers and clinicians have recognized that lifestyle factors (i.e.,...

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