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.
Value-Based Payment News
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.
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.