Study Finds Many Medicaid Managed Care Sanctions Remain Unresolved Across States
A new study finds that one in four Medicaid managed care sanctions remain unresolved, raising questions about oversight and accountability in state Medicaid programs.
Value-Based Payment News
Federal Home Health VBP Model Associated With Reduced Care Disparities For Medicare Beneficiaries With Dementia
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
Pennsylvania Updates Assistive Technology Limits for IDD Waivers
Pennsylvania shifts assistive technology funding for IDD waivers from a $10,000 lifetime cap to a $3,000 annual limit to improve flexibility for participants.
Colorado Medicaid Costs Surge, Raising Concerns Over Sustainability
Colorado Medicaid spending is rising rapidly, creating budget pressure and forcing lawmakers to consider cuts, reforms, or new funding options.
New York Lawmakers Consider Medicaid Behavioral Health Carve-Out Amid Access Concerns
New York lawmakers are considering a Medicaid behavioral health carve-out that would return services to a fee-for-service model.
Indiana Ends Managed Care for Long-Term Medicaid Nursing Home Residents
Indiana will move Medicaid nursing home residents out of managed care after 100 days, returning to a fee-for-service model amid cost and payment concerns.
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%.
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.