California has steadily expanded managed care’s role in long-term services and supports through CalAIM. Yet many of the services continue to operate outside managed care, leaving consumers to navigate a complex mix of plans, waivers, counties, and state programs.
Learn how Missouri’s fee-for-service LTSS system works, how it performs for consumers, and how the state is using value-based payment without a statewide MLTSS program.
Learn how Arizona’s ALTCS program is structured, how it has performed for members, and what the upcoming reprocurement could change.
Massachusetts uses integrated programs to coordinate medical care, behavioral health, and long-term services, but recent eligibility and program changes create new consumer considerations.
Pennsylvania’s Community HealthChoices program manages long-term services and
supports, but the consumer experience depends on how well the model delivers access, accountability, and real service coordination.
Florida’s managed long-term care model offers structure and scale, but the consumer experience depends on how well people can move through screening, eligibility, and enrollment to actually access services.
A federal analysis finds 87.1% of Medicaid long-term care users receive home- and community-based services (HCBS), though access varies significantly across states.
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.
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.
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.