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.
Value-Based Payment News
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.
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.
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.
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.
Idaho Plans Full Transition to Medicaid Managed Care by 2029
Idaho plans to shift all Medicaid services to private managed care by 2029, with health officials cautioning the transition must be gradual to avoid disruption.
House Passes Sweeping Medicaid Cuts, Advocates Warn of Crisis for Disability Services
The U.S. House passed a bill slashing Medicaid, raising alarms among disability advocates who fear widespread service reductions, closures, and loss of coverage.
Study Reveals High Rates of Cognitive and Functional Decline in Long-Term Care Residents
A recent study highlights the prevalence of cognitive and functional decline among long-term care residents, emphasizing the need for proactive care planning.
New York Awards Contracts for In-Home Assistive Technology to Support Independent Living for People with I/DD
New York’s OPWDD has awarded contracts to eight providers to deliver assistive technologies and supports that promote independence for people with intellectual and developmental disabilities.