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%.
value based payments
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.
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.
New Federal Law Caps Medicaid Payments, Threatens Rural Hospitals
New federal law caps state-directed Medicaid payments, a move critics warn could devastate rural hospitals already under financial strain.
The Accountable Health Communities Model – Connecting Health and Social Needs
The VBP Blog explores how the Accountable Health Communities model tested new approaches to addressing social needs and what its outcomes mean for the future of LTSS and value-based care.
Most Medicare Advantage Enrollees Face Limited Plan Choices in Concentrated Markets
A new KFF study shows most Medicare Advantage beneficiaries are in highly concentrated markets with limited insurer options, leaving little consumer choice.
Pioneer ACO Model – A First Step Toward Accountable, Coordinated Care
As one of CMMI’s earliest initiatives, the Pioneer ACO Model helped define what accountable care could look like. We explore what worked, what didn’t, and where the model leads us next.
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.
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.
Wrapping Up the AI Revolution Series
Used correctly, AI can revolutionize the healthcare industry. From improving quality of care and access to care in home care and home health industry, to addressing behavioral health issues and health-related social needs, AI is primed to accelerate the industry.