Medicare has undoubtedly helped millions of seniors and disabled adults receive health coverage since being signed into law in 1965. Today, Medicare covers 55 million beneficiaries across the US. In the coming decades though, Medicare faces a complex multitude of competing environmental pressures. First, the sheer size of the Medicare-eligible population is projected to increase significantly: according to the US census, by 2029 all the baby boomers will be 65 or older which will account for 20 percent of the US population. Adding to that increased pressure is the trends showing this population will be living with more disabilities and living longer than previous generations.