How States Structure MLTSS Programs Differently and Why It Matters
LTSS programs can look very different from state to state. Learn how design choices shape access, coordination, accountability, and the consumer experience.
VBP Blogs
Who Is MLTSS Designed For? Understanding the Populations States Prioritize in Managed LTSS
MLTSS programs are designed for different populations across states, from older adults and people with physical disabilities to dual-eligible members and individuals with I/DD or behavioral health needs.
MLTSS 101: What Managed Long Term Services and Supports Really Means for Consumers, States, and Providers
MLTSS is one of the most consequential design choices in Medicaid. This overview explains where it came from, what it covers, why it matters, and how value-based payment is increasingly shaping MLTSS contracts.
AI in Healthcare, One Year Later: How Healthcare Systems Are Using AI in 2025
The VBP Blog explores how healthcare organizations are moving from pilots to real-world deployment of AI in 2025, what early outcomes are showing, and how value-based and LTSS providers can plan for the transformation.
AI in Healthcare, One Year Later: Policy, Regulation, and Governance
The VBP Blog revisits AI in healthcare one year later, exploring how new FDA, ONC, CMS, and HHS policies are reshaping transparency, safety, and equity in value-based care.
A Look Back at 2025: Insights on Value-Based Care, LTSS, and Dual-Eligibility
XtraGlobex reflects on a year of advocacy, analysis, and innovation across value-based payment, LTSS, and dual-eligible policy through The VBP Blog, DEHQ, and Paying for Outcomes.
From Innovation to Action: What CMMI’s VBP Models Can Teach Us About the Future of LTSS
The VBP Blog concludes its series on CMMI models with key takeaways for LTSS reform, spotlighting models that moved the needle on equity, integration, and accountability.
The Rise and End of MA-VBID: Lessons from Medicare Advantage’s Value-Based Insurance Experiment for LTSS
The VBP Blog concludes its CMMI series with lessons for LTSS reform, spotlighting models that advanced equity, accountability, and whole-person care.
Home Health VBP Model – Elevating Outcomes in the Home
The Home Health Value-Based Purchasing model transformed how agencies deliver care in the home. We examine its impact, lessons, and what the expanded program means for value-based reform.
BPCI Advanced – Aligning Care and Cost in 90-Day Episodes
The VBP Blog explores how the BPCI Advanced built on earlier bundled payment efforts to create accountability for total episode costs and quality. This blog explores the model’s design, impact, and its potential lessons for long-term care reform.