From bundled payments to accountable care, CMMI models are reshaping healthcare delivery. This series explores which ones delivered results, and what it means for value-based care in the future.
Budget cuts and restructuring at agencies like CDC and NIH are weakening the nation’s health infrastructure. Learn how these changes impact public health, research, and safety.
Budget cuts and restructuring at agencies like CDC and NIH are weakening the nation’s health infrastructure. Learn how these changes impact public health, research, and safety.
Recent policy shifts by the Administration signal significant changes to Medicaid funding, potentially affecting millions of Americans. This blog examines the nature of these cuts and their potential consequences.
Millions face uncertainty with recent policies destabilizing Medicare and Medicaid and rolling back protections for consumers. Learn how these changes affect consumers, vulnerable communities, and healthcare outcomes.
Florida’s SMMC 3.0 program places a strong emphasis on value-based purchasing, rewarding providers for quality and cost-effective care. This shift is central to improving outcomes and ensuring Medicaid recipients receive better, more coordinated services.
Category: Healthcare Payers
Florida’s Statewide Medicaid Managed Care (SMMC) 3.0 program, launched on February 1, 2025, introduces significant enhancements aimed at improving care coordination, integrating behavioral analysis services, and piloting managed care for individuals with intellectual and developmental disabilities.
While MLTSS expands access to home-based care, its success depends on addressing key challenges like workforce shortages, eligibility barriers, care coordination gaps, and transitions from institutional care. Here’s what needs to be done to improve these programs.
Massachusetts and Colorado offer strong MLTSS programs that help Medicaid beneficiaries receive in-home care rather than entering nursing facilities. Their programs provide personal care, home health services, and caregiver support to promote independent living.
Managed Long-Term Services and Supports (MLTSS) help Medicaid enrollees receive in-home care rather than institutional care. These programs focus on independence and quality of life for individuals with long-term care needs.