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.
Medicaid
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%.
Most Medicaid Long-Term Care Users Now Receive Services at Home, But Access Still Varies Widely by State
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.
Louisiana Commits More Than $17 Billion to Extend Medicaid Managed Care Contracts
Louisiana has approved more than $17 billion to extend most Medicaid managed care contracts through 2026, while planning a transition for UnitedHealthcare members.
Study Links Health-Related Social Needs to Higher Emergency Department Use
A new study finds that unmet health-related social needs, including housing and transportation challenges, are strongly associated with higher emergency department use.
CMS Introduces LEAD Model to Broaden Accountable Care Participation and Strengthen Outcomes
CMS unveiled the LEAD ACO model to expand access to accountable care, support complex patients, and improve coordination across Medicare and Medicaid.
States Warn of Major Barriers Ahead of Federal Medicaid Work Requirements
A new national survey reveals expansion states expect serious administrative and financial challenges as federal Medicaid work requirements take effect in 2027.
Managed Care Reduces Nursing Home Populations, But Low-Need Residents Remain
A recent study shows managed care reduces overall nursing home use but fails to transition low-need residents into less restrictive long-term care settings.
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.
New York Expands Behavioral Health Access Through Medicaid Reforms
New York announces improved Medicaid managed care compliance for behavioral health services despite weakening federal enforcement on mental health parity.