New federal reports found significant inaccuracies in Medicaid managed care provider directories and network lists, raising concerns about access to maternal health services.
CMS has released new Medicaid eligibility rules requiring certain adults to meet work, education, or community engagement standards to maintain coverage beginning in 2027.
CMS has released new Medicaid eligibility rules requiring certain adults to meet work, education, or community engagement standards to maintain coverage beginning in 2027.
Ohio has suspended Medicaid payments to 49 home health providers after identifying suspicious billing patterns, marking a major step in the state’s effort to combat fraud and protect taxpayer dollars.
A new study finds that one in four Medicaid managed care sanctions remain unresolved, raising questions about oversight and accountability in state Medicaid programs.
MLTSS is expected to do more than simply move long-term services and supports (LTSS) into managed care. States also use these models to improve coordination, strengthen accountability, and support care in home and community-based settings.
A new study found the Medicare Home Health Value-Based Purchasing program was associated with reduced disparities in home health care utilization for beneficiaries living with dementia
The VBP Blog concludes its CMMI series with lessons for LTSS reform, spotlighting models that advanced equity, accountability, and whole-person care.
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.
New federal law caps state-directed Medicaid payments, a move critics warn could devastate rural hospitals already under financial strain.