Maryland’s TCOC Model – A Blueprint for Whole-Person Value-Based Care
Maryland’s Total Cost of Care model offers one of the clearest examples of value-based payment success at scale. We unpack the model’s structure, impact, and lessons for LTSS.
VBP Blogs
Exploring Success of CMMI Value-Based Payment Models: A New Series on Innovation and Impact
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.
Rolling Back Disability Rights: How the Administration’s Policies Threaten Access, Equity, and Inclusion for the IDD Community
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.
Undermining Public Health: How the Administration’s Cuts to CDC and NIH Jeopardize Healthcare
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.
Medicaid Under Threat: The Administration’s Budget Cuts and Their Impact on Vulnerable Communities
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.
A Brewing Crisis: Current Administration’s Healthcare Policies Can Put Consumers at Risk
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.
Driving Better Outcomes – How Value-Based Payments Advance Florida’s Medicaid Managed Care Program
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 SMMC 3.0 Aims to Advance Medicaid Managed Care In The State
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.
Addressing Challenges in MLTSS Implementation: What’s Needed for Success
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.
How Massachusetts and Colorado Are Leading the Way in Home-Based MLTSS
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.