CMS has proposed a 2.4% Medicare home health payment increase for 2027 while introducing new fraud prevention measures and updates to the Home Health Prospective Payment System.
New federal reports found significant inaccuracies in Medicaid managed care provider directories and network lists, raising concerns about access to maternal health services.
CMS has released new Medicaid eligibility rules requiring certain adults to meet work, education, or community engagement standards to maintain coverage beginning in 2027.
Pennsylvania’s Community HealthChoices program manages long-term services and
supports, but the consumer experience depends on how well the model delivers access, accountability, and real service coordination.
CMS has released new Medicaid eligibility rules requiring certain adults to meet work, education, or community engagement standards to maintain coverage beginning in 2027.
Florida’s managed long-term care model offers structure and scale, but the consumer experience depends on how well people can move through screening, eligibility, and enrollment to actually access services.
Ohio has suspended Medicaid payments to 49 home health providers after identifying suspicious billing patterns, marking a major step in the state’s effort to combat fraud and protect taxpayer dollars.
A new study finds that one in four Medicaid managed care sanctions remain unresolved, raising questions about oversight and accountability in state Medicaid programs.
MLTSS is expected to do more than simply move long-term services and supports (LTSS) into managed care. States also use these models to improve coordination, strengthen accountability, and support care in home and community-based settings.
A new study found the Medicare Home Health Value-Based Purchasing program was associated with reduced disparities in home health care utilization for beneficiaries living with dementia