Pennsylvania is seeking feedback on HealthChoices Medicaid managed care changes, including behavioral health coordination, I/DD services, value-based payments and oversight.
Medicare Advantage premiums are projected to fall more than 16% in 2027 as CMS reports stable plan availability and modest changes in Medicare Part D costs.
NCQA’s 2026 Health Plan Ratings show a 64% increase in 5-star plans, along with widespread quality improvements among Medicaid, Medicare Advantage and commercial health plans.
Indiana is launching a $68 billion Medicaid managed care procurement covering four programs and nearly 1.5 million beneficiaries as the state looks to control rising costs and improve care.
Vermont and California are advancing legislation that would limit the use of AI in mental health treatment, requiring greater clinician oversight and stronger patient protections.
A new analysis finds states are expanding home- and community-based services through Medicaid, but workforce shortages, waitlists, and funding pressures continue to challenge access.
Pennsylvania is investing $1 million in a Medicaid housing pilot designed to improve health outcomes, reduce hospital use, and address housing instability among vulnerable residents.
A new study finds food insecurity is linked to higher emergency department spending, lower income, and greater job instability, highlighting opportunities for managed care interventions.
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.