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MOST RECENT BLOGS:
California MLTSS: Has CalAIM Created a More Integrated Long-Term Care System?
California has steadily expanded managed care’s role in long-term services and supports through CalAIM. Yet many of the services continue to operate outside managed care, leaving consumers to navigate a complex mix of plans, waivers, counties, and state programs.
Missouri LTSS: What a Fee-for-Service Model Means for Consumers
Learn how Missouri’s fee-for-service LTSS system works, how it performs for consumers, and how the state is using value-based payment without a statewide MLTSS program.
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Pennsylvania Seeks Input on Medicaid Managed Care Changes Ahead of HealthChoices Procurement
Pennsylvania is seeking feedback on HealthChoices Medicaid managed care changes, including behavioral health coordination, I/DD services, value-based payments and oversight.
Medicare Advantage Premiums Expected to Fall More Than 16% in 2027
Medicare Advantage premiums are projected to fall more than 16% in 2027 as CMS reports stable plan availability and modest changes in Medicare Part D costs.
More Health Plans Earn Top Marks as Medicaid Quality Measures Improve
NCQA’s 2026 Health Plan Ratings show a 64% increase in 5-star plans, along with widespread quality improvements among Medicaid, Medicare Advantage and commercial health plans.
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