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.
Value-Based Payment News
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.
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.
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.
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.