Illinois Awards $12 Billion in D-SNP Contracts to Four Health Plans
Illinois has awarded $12 billion in contracts to four health plans as it transitions to a fully integrated D-SNP model for dual-eligible beneficiaries beginning in 2026.
Value-Based Payment News
Staffing Shortages Remain the Biggest Challenge for Home-Based Care Industry
A recent survey highlights staffing shortages as the biggest challenge for home-based care providers, while most companies plan to focus on organic growth in 2025.
Florida Launches Medicaid Pilot Program for IDD Services in Managed Care
Florida’s Medicaid program has introduced a pilot initiative transitioning waiver services for individuals with intellectual and developmental disabilities to managed care in two regions.
Proposed Congressional Budget Cuts Could Impact Millions on Medicaid
Congressional budget cuts could put Medicaid coverage at risk for millions, with experts cautioning that states may struggle to compensate for reduced federal funding.
New York Expands CDPAP With Partnership for 11 Independent Living Centers
New York Governor Kathy Hochul has announced 11 new partners joining the state’s Consumer Directed Personal Assistance Program (CDPAP) to enhance home care services.
Florida Implements Changes to Medicaid Managed Care System
Florida’s Medicaid managed care system has undergone major changes, including new contracts and a reduced number of service regions, affecting millions of residents.
California Enacts Law Mandating Oversight of AI in Medical Necessity Decisions
California requires licensed healthcare professionals to oversee AI medical necessity decisions under a new law aimed at protecting patient care and fairness.
Indiana Lawmakers Push Medicaid Reforms, Address Waitlists and Caregiver Services
Indiana lawmakers are tackling Medicaid reforms, addressing waitlists, caregiver services, and payment delays under the PathWays for Aging program.
Iowa HHS Designates Iowa Primary Care Association as Statewide Behavioral Health ASO
The Iowa Department of Health and Human Services has selected the Iowa Primary Care Association to oversee the statewide behavioral health system, enhancing coordination and service delivery.
Florida Expands Behavioral Health and Supportive Housing Assistance Pilot
Florida’s Agency for Health Care Administration proposes an expansion of its Behavioral Health and Supportive Housing Assistance Pilot, aiming to provide better access to services for residents with mental health and substance use disorders.