Medicare Spending Expected to More Than Double by 2036, CBO Projects
The Congressional Budget Office projects Medicare spending will more than double by 2036 while Medicaid spending is expected to increase by nearly 50%.
Healthcare Payers
MLTSS 101: What Managed Long Term Services and Supports Really Means for Consumers, States, and Providers
MLTSS is one of the most consequential design choices in Medicaid. This overview explains where it came from, what it covers, why it matters, and how value-based payment is increasingly shaping MLTSS contracts.
Telemedicine Visits Linked To Fewer Follow-Up Appointments And Lower Health Care Costs
A recent study finds telemedicine visits were associated with 23% fewer follow-up visits and significantly lower health care costs during a 30-day episode of care.
Most Medicaid Long-Term Care Users Now Receive Services at Home, But Access Still Varies Widely by State
A federal analysis finds 87.1% of Medicaid long-term care users receive home- and community-based services (HCBS), though access varies significantly across states.
New Index Estimates $135,000 Needed at Age 65 to Cover Future Long-Term Care Costs
A new Milliman index estimates a 65-year-old will need $135,000 in 2025 to cover future long-term care costs, with women facing higher projected expenses.
AI in Healthcare, One Year Later: How Healthcare Systems Are Using AI in 2025
The VBP Blog explores how healthcare organizations are moving from pilots to real-world deployment of AI in 2025, what early outcomes are showing, and how value-based and LTSS providers can plan for the transformation.
AI in Healthcare, One Year Later: Policy, Regulation, and Governance
The VBP Blog revisits AI in healthcare one year later, exploring how new FDA, ONC, CMS, and HHS policies are reshaping transparency, safety, and equity in value-based care.
Louisiana Commits More Than $17 Billion to Extend Medicaid Managed Care Contracts
Louisiana has approved more than $17 billion to extend most Medicaid managed care contracts through 2026, while planning a transition for UnitedHealthcare members.
Study Links Health-Related Social Needs to Higher Emergency Department Use
A new study finds that unmet health-related social needs, including housing and transportation challenges, are strongly associated with higher emergency department use.
CMS Introduces LEAD Model to Broaden Accountable Care Participation and Strengthen Outcomes
CMS unveiled the LEAD ACO model to expand access to accountable care, support complex patients, and improve coordination across Medicare and Medicaid.