Medicare Advantage Premiums Expected to Fall More Than 16% in 2027
Medicare Advantage premiums are projected to fall more than 16% in 2027 as CMS reports stable plan availability and modest changes in Medicare Part D costs.
managed care
Indiana Launches $68 Billion Medicaid Managed Care Procurement
Indiana is launching a $68 billion Medicaid managed care procurement covering four programs and nearly 1.5 million beneficiaries as the state looks to control rising costs and improve care.
Study Highlights Broader Economic Impact of Food Insecurity Beyond Health Care Costs
A new study finds food insecurity is linked to higher emergency department spending, lower income, and greater job instability, highlighting opportunities for managed care interventions.
CMS Proposes Medicare Home Health Payment Increase and Expanded Fraud Prevention Measures for 2027
CMS has proposed a 2.4% Medicare home health payment increase for 2027 while introducing new fraud prevention measures and updates to the Home Health Prospective Payment System.
How States Measure MLTSS Performance: Quality, Oversight, and Accountability
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.
How States Structure MLTSS Programs Differently and Why It Matters
LTSS programs can look very different from state to state. Learn how design choices shape access, coordination, accountability, and the consumer experience.
Who Is MLTSS Designed For? Understanding the Populations States Prioritize in Managed LTSS
MLTSS programs are designed for different populations across states, from older adults and people with physical disabilities to dual-eligible members and individuals with I/DD or behavioral health needs.
New York Lawmakers Consider Medicaid Behavioral Health Carve-Out Amid Access Concerns
New York lawmakers are considering a Medicaid behavioral health carve-out that would return services to a fee-for-service model.
MLTSS 101: What Managed Long Term Services and Supports Really Means for Consumers, States, and Providers
MLTSS is one of the most consequential design choices in Medicaid. This overview explains where it came from, what it covers, why it matters, and how value-based payment is increasingly shaping MLTSS contracts.
Florida Expands Medicaid IDD Program, Sees Enrollment Growth in Managed Care
Florida’s ICMC Medicaid program for individuals with IDD expanded statewide in 2025, leading to a membership increase for Florida Community Care. Learn more about the program’s impact.