Long-Term Care Leaders Warn of Crisis If Immigration Orders Proceed
Long-term care providers appeal to HHS to stop immigration policies that could deport thousands of essential immigrant caregivers, risking severe staffing shortages.
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.
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.
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
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.
Florida’s SMMC 3.0 Aims to Advance Medicaid Managed Care In The State
Florida’s Statewide Medicaid Managed Care (SMMC) 3.0 program, launched on February 1, 2025, introduces significant enhancements aimed at improving care coordination, integrating behavioral analysis services, and piloting managed care for individuals with intellectual and developmental disabilities.
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.
Staffing Shortages Remain the Biggest Challenge for Home-Based Care Industry
A recent survey highlights staffing shortages as the biggest challenge for home-based care providers, while most companies plan to focus on organic growth in 2025.
Addressing Challenges in MLTSS Implementation: What’s Needed for Success
While MLTSS expands access to home-based care, its success depends on addressing key challenges like workforce shortages, eligibility barriers, care coordination gaps, and transitions from institutional care. Here’s what needs to be done to improve these programs.
Florida Launches Medicaid Pilot Program for IDD Services in Managed Care
Florida’s Medicaid program has introduced a pilot initiative transitioning waiver services for individuals with intellectual and developmental disabilities to managed care in two regions.