Managed Care Reduces Nursing Home Populations, But Low-Need Residents Remain
A recent study shows managed care reduces overall nursing home use but fails to transition low-need residents into less restrictive long-term care settings.
Healthcare Payers
The Rise and End of MA-VBID: Lessons from Medicare Advantage’s Value-Based Insurance Experiment for LTSS
The VBP Blog concludes its CMMI series with lessons for LTSS reform, spotlighting models that advanced equity, accountability, and whole-person care.
Florida Expands Medicaid IDD Program, Sees Enrollment Growth in Managed Care
Florida’s ICMC Medicaid program for individuals with IDD expanded statewide in 2025, leading to a membership increase for Florida Community Care. Learn more about the program’s impact.
Home Health VBP Model – Elevating Outcomes in the Home
The Home Health Value-Based Purchasing model transformed how agencies deliver care in the home. We examine its impact, lessons, and what the expanded program means for value-based reform.
BPCI Advanced – Aligning Care and Cost in 90-Day Episodes
The VBP Blog explores how the BPCI Advanced built on earlier bundled payment efforts to create accountability for total episode costs and quality. This blog explores the model’s design, impact, and its potential lessons for long-term care reform.
New Federal Law Caps Medicaid Payments, Threatens Rural Hospitals
New federal law caps state-directed Medicaid payments, a move critics warn could devastate rural hospitals already under financial strain.
The Accountable Health Communities Model – Connecting Health and Social Needs
The VBP Blog explores how the Accountable Health Communities model tested new approaches to addressing social needs and what its outcomes mean for the future of LTSS and value-based care.
Most Medicare Advantage Enrollees Face Limited Plan Choices in Concentrated Markets
A new KFF study shows most Medicare Advantage beneficiaries are in highly concentrated markets with limited insurer options, leaving little consumer choice.
Nebraska Eliminates Developmental Disabilities Waitlist Through State-Funded Service Expansion
Nebraska ends its I/DD waitlist ahead of schedule, expanding access to Medicaid-funded home- and community-based services through $18 million in state and federal funding.
Pioneer ACO Model – A First Step Toward Accountable, Coordinated Care
As one of CMMI’s earliest initiatives, the Pioneer ACO Model helped define what accountable care could look like. We explore what worked, what didn’t, and where the model leads us next.