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.
long-term services and supports
Unplanned Long-Term Care Costs Threaten U.S. Retirement Security
New analysis warns that long-term care expenses pose serious risks to retirement security, particularly for single women and Baby Boomers.
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.
Understanding Managed Long-Term Services and Supports (MLTSS) for In-Home Care
Managed Long-Term Services and Supports (MLTSS) help Medicaid enrollees receive in-home care rather than institutional care. These programs focus on independence and quality of life for individuals with long-term care needs.
33 Years of Advocacy and Progress – Honoring the Americans with Disabilities Act
A detailed exploration of the Making Care Primary Model, an innovative value-based initiative by CMS aimed at transforming primary care.
Wisconsin’s Deliberate MLTSS Approach Means Success
Wisconsin’s long-tenured Family Care MLTSS Program continues to find success with major goals including increased ability to keep consumers at home, lowered costs and reduced inefficiencies. They continue to raise the bar for national MLTSS programs.
SUCCESS: Tennessee Advocates Obtain Permanent Increase in DSP Pay Rates
The Tennessee advocates worked with consumers, families, peers, and legislators to create an increase for direct care workers.
Tennessee’s Strong MLTSS Program
Tennessee has built a strong structure for their Medicaid-managed long-term services and supports community with a program they launched in 2010 called CHOICES. Their program has been revered for its flexibility, high quality, and consumer-first approach.