Study Shows Medicare ACOs Cut Billions in Costs Between 2012 and 2019
Medicare Shared Savings Program ACOs saved the program $4.1 to $8.1 billion between 2012 and 2019, with smaller physician-led organizations showing the most impact.
managed care
Idaho Plans Full Transition to Medicaid Managed Care by 2029
Idaho plans to shift all Medicaid services to private managed care by 2029, with health officials cautioning the transition must be gradual to avoid disruption.
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
Illinois Awards $12 Billion in D-SNP Contracts to Four Health Plans
Illinois has awarded $12 billion in contracts to four health plans as it transitions to a fully integrated D-SNP model for dual-eligible beneficiaries beginning in 2026.
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.
The VBP Blog 2024 Recap
In 2024, managed care and value-based payment models reshaped healthcare by improving care coordination, enhancing outcomes, and addressing diverse population needs in behavioral health, I/DD care, and home health.
The Results Are In – Medicare Shared Savings Program ACOs Are Reducing Costs and Improving Care
Learn how value-based payment models, from bundled payments to accountable care organizations, are changing the healthcare industry by improving care quality and reducing costs. Explore the results of these initiatives and their impact on patients and providers.
VBP Update – The Benefits of VBP for Consumers and Providers
Value-based payments (VBP) prioritize quality care over the volume of services, benefiting consumers with better outcomes and providers with financial incentives. Learn how VBP models promote preventive care, reduce costs, and create a more patient-centered healthcare system.
VBP Update – What are Value-Based Payments?
Learn about value-based payments and how this model shifts healthcare towards improved patient outcomes, reduced costs, and more efficient care delivery. We explore the different types of models, early successes, and challenges in implementation.
Centene Secures Renewed Medicaid Contract in Iowa
Centene Corporation continues its role in Iowa’s Medicaid program with a new six-year managed care contract, maintaining stability for beneficiaries and aligning contract timelines.