Medicaid Managed Care Now Represents More Than Half of Program Spending
CMS has released new Medicaid eligibility rules requiring certain adults to meet work, education, or community engagement standards to maintain coverage beginning in 2027.
healthcare policy
CMS Issues New Medicaid Work Requirement Rules, Signaling Major Changes for States and Managed Care Plans
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 Suspends Payments to 49 Home Health Providers in Medicaid Fraud Investigation
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.
Indiana Ends Managed Care for Long-Term Medicaid Nursing Home Residents
Indiana will move Medicaid nursing home residents out of managed care after 100 days, returning to a fee-for-service model amid cost and payment concerns.
Medicare Spending Expected to More Than Double by 2036, CBO Projects
The Congressional Budget Office projects Medicare spending will more than double by 2036 while Medicaid spending is expected to increase by nearly 50%.
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.
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.