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Barnstable County—s SHINE program reports record outreach, urges support for volunteers

Barnstable County Board of Regional Commissioners · May 27, 2026
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Summary

At the May 27 county meeting in Yarmouth, SHINE program manager Christina said the county—s Medicare counseling effort logged more than 7,000 beneficiary contacts in 2025, highlighted heavy reliance on trained volunteers, and asked towns and the county to sustain space, training and outreach support.

Christina Whit O—Brien, the program manager for Barnstable County—s SHINE Medicare counseling program, told commissioners on May 27 that the program logged "over 7,000 contacts with beneficiaries" in 2025 and is expanding outreach across Cape Cod and the islands.

SHINE (Serving the Health Insurance Needs of Everyone on Medicare) provides free, non‑biased Medicare information and one‑on‑one counseling. Christina said the program is funded primarily by the federal Administration for Community Living and by the Commonwealth through the Executive Office of Elder Affairs, and that Barnstable County provides local administrative support.

The program reported that its regional team now includes about 71 counselors (roughly 72% volunteers) with a 21‑person cohort in training. "We couldn't do this without our SHINE counselors who are giving of their time," Christina told the board, describing both in‑person counseling and community seminars such as Medicare 101 sessions.

Why it matters: Medicare enrollment and plan choice can produce significant financial differences for older adults. Christina cited examples where counseling led to substantial savings for beneficiaries and described SHINE—s role helping people compare Original Medicare, Medicare Advantage and other options and in screening for public benefits such as the Medicare Savings Program. Commissioners stressed the program—s value as Cape Cod prepares for a growing older population.

Local impact and access: County staff said SHINE served about 712 Yarmouth residents in 2025, and that 91% of those contacts occurred at the Yarmouth Council on Aging. The program supports caregivers, operates through councils on aging and community locations, and is developing multilingual phone translation and outreach in rural areas and on the islands.

Operational needs and county role: Christina asked local municipalities and the commission to keep offering dedicated space for SHINE counselors, to support volunteer recruitment and training (SHINE requires roughly 40 hours of training and annual recertification) and to continue county funding of administration. Commissioners noted that SHINE—s work can materially reduce prescription and premium costs for people on fixed incomes; the board observed that protecting access and space at senior centers was key to program effectiveness.

What—s next: SHINE will continue volunteer recruitment and training, expand community seminars, and coordinate with town councils on aging to maintain appointment space. The county affirmed ongoing support for outreach and asked staff to identify ways to publicize the service countywide.

Quotes

"We had over 7,000 contacts with beneficiaries," Christina said, summing up the program—s 2025 workload. (Christina Whit O—Brien, SHINE program manager)

"These are volunteers who are giving their time," Mandy Spieman said, describing the volunteer‑heavy counselor network. (Mandy Spieman, Deputy Director, Barnstable County Department of Human Services)

Ending

Commissioners thanked SHINE staff and volunteers and directed county staff to continue supporting counselor space, training and outreach; no formal vote was required.