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%.
VBP
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.
CMS Launches New Medicare Model ACCESS to Expand Technology-Supported Chronic Care
CMS plans to launch the ACCESS Model to expand technology-supported chronic care and test outcome-aligned payments for Medicare beneficiaries.
From Innovation to Action: What CMMI’s VBP Models Can Teach Us About the Future of LTSS
The VBP Blog concludes its series on CMMI models with key takeaways for LTSS reform, spotlighting models that moved the needle on equity, integration, and accountability.
BPCI Advanced – Aligning Care and Cost in 90-Day Episodes
The VBP Blog explores how the BPCI Advanced built on earlier bundled payment efforts to create accountability for total episode costs and quality. This blog explores the model’s design, impact, and its potential lessons for long-term care reform.
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.