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.
Healthcare Payers
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.
Maryland’s TCOC Model – A Blueprint for Whole-Person Value-Based Care
Maryland’s Total Cost of Care model offers one of the clearest examples of value-based payment success at scale. We unpack the model’s structure, impact, and lessons for LTSS.
CMS Proposes 6.4% Cut to Medicare Home Health Payments for 2026
CMS proposes a 6.4% reduction in Medicare payments to home health agencies for 2026, raising concerns about access to care and financial stability in the sector.
Exploring Success of CMMI Value-Based Payment Models: A New Series on Innovation and Impact
From bundled payments to accountable care, CMMI models are reshaping healthcare delivery. This series explores which ones delivered results, and what it means for value-based care in the future.
Unplanned Long-Term Care Costs Threaten U.S. Retirement Security
New analysis warns that long-term care expenses pose serious risks to retirement security, particularly for single women and Baby Boomers.
New York Expands Behavioral Health Access Through Medicaid Reforms
New York announces improved Medicaid managed care compliance for behavioral health services despite weakening federal enforcement on mental health parity.
Rolling Back Disability Rights: How the Administration’s Policies Threaten Access, Equity, and Inclusion for the IDD Community
Budget cuts and restructuring at agencies like CDC and NIH are weakening the nation’s health infrastructure. Learn how these changes impact public health, research, and safety.
Study Shows Medicare ACOs Cut Billions in Costs Between 2012 and 2019
Medicare Shared Savings Program ACOs saved the program $4.1 to $8.1 billion between 2012 and 2019, with smaller physician-led organizations showing the most impact.