Medicare Spending Expected to More Than Double by 2036, CBO Projects
The Congressional Budget Office projects Medicare spending will more than double by 2036 while Medicaid spending is expected to increase by nearly 50%.
Value-Based Payment News
Telemedicine Visits Linked To Fewer Follow-Up Appointments And Lower Health Care Costs
A recent study finds telemedicine visits were associated with 23% fewer follow-up visits and significantly lower health care costs during a 30-day episode of care.
Most Medicaid Long-Term Care Users Now Receive Services at Home, But Access Still Varies Widely by State
A federal analysis finds 87.1% of Medicaid long-term care users receive home- and community-based services (HCBS), though access varies significantly across states.
New Index Estimates $135,000 Needed at Age 65 to Cover Future Long-Term Care Costs
A new Milliman index estimates a 65-year-old will need $135,000 in 2025 to cover future long-term care costs, with women facing higher projected expenses.
Louisiana Commits More Than $17 Billion to Extend Medicaid Managed Care Contracts
Louisiana has approved more than $17 billion to extend most Medicaid managed care contracts through 2026, while planning a transition for UnitedHealthcare members.
Study Links Health-Related Social Needs to Higher Emergency Department Use
A new study finds that unmet health-related social needs, including housing and transportation challenges, are strongly associated with higher emergency department use.
CMS Introduces LEAD Model to Broaden Accountable Care Participation and Strengthen Outcomes
CMS unveiled the LEAD ACO model to expand access to accountable care, support complex patients, and improve coordination across Medicare and Medicaid.
CMS Launches New Medicare Model ACCESS to Expand Technology-Supported Chronic Care
CMS plans to launch the ACCESS Model to expand technology-supported chronic care and test outcome-aligned payments for Medicare beneficiaries.
States Warn of Major Barriers Ahead of Federal Medicaid Work Requirements
A new national survey reveals expansion states expect serious administrative and financial challenges as federal Medicaid work requirements take effect in 2027.
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.