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MOST RECENT BLOGS:
A Brewing Crisis: Current Administration’s Healthcare Policies Can Put Consumers at Risk
Millions face uncertainty with recent policies destabilizing Medicare and Medicaid and rolling back protections for consumers. Learn how these changes affect consumers, vulnerable communities, and healthcare outcomes.
Driving Better Outcomes – How Value-Based Payments Advance Florida’s Medicaid Managed Care Program
Florida’s SMMC 3.0 program places a strong emphasis on value-based purchasing, rewarding providers for quality and cost-effective care. This shift is central to improving outcomes and ensuring Medicaid recipients receive better, more coordinated services.
Category: Healthcare Payers
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CMS Moves to Rein In Medicaid Spending on Programs Not Directly Tied to Healthcare Services
CMS announced it will stop approving Medicaid matching funds for state programs not directly linked to healthcare, aiming to preserve the integrity of the Medicaid partnership.
Pennsylvania Reduces IDD Emergency Waiting List, Expands Home and Community-Based Services
The Shapiro Administration cut Pennsylvania’s IDD emergency waiting list by 19% and enrolled 3,000+ individuals in services, supported by major budget investments in the 2024-25 fiscal year.
Illinois Awards $12 Billion in D-SNP Contracts to Four Health Plans
Illinois has awarded $12 billion in contracts to four health plans as it transitions to a fully integrated D-SNP model for dual-eligible beneficiaries beginning in 2026.
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