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.
Value-Based Payment News
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.
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.