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MOST RECENT BLOGS:
America Wants Equity. VBP in Healthcare Can Deliver
Value-based payment can make healthcare more equitable by rewarding reliable LTSS, accessible care and services that reflect what consumers need.
California MLTSS: Has CalAIM Created a More Integrated Long-Term Care System?
California has steadily expanded managed care’s role in long-term services and supports through CalAIM. Yet many of the services continue to operate outside managed care, leaving consumers to navigate a complex mix of plans, waivers, counties, and state programs.
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Americans Wary of AI in Health Care, Want Humans Making Final Decisions
Americans are open to some uses of AI in health care but strongly prefer human oversight, particularly for diagnoses, treatments and insurance decisions.
CMS Gains New Authority to Exclude Providers From Medicare and Medicaid
CMS can now impose certain permissive exclusions from Medicare, Medicaid and other federal health care programs under a new HHS delegation of authority.
Pennsylvania Seeks Input on Medicaid Managed Care Changes Ahead of HealthChoices Procurement
Pennsylvania is seeking feedback on HealthChoices Medicaid managed care changes, including behavioral health coordination, I/DD services, value-based payments and oversight.
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