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Driving Better Outcomes – How Value-Based Payments Advance Florida’s Medicaid Managed Care Program
Florida’s SMMC 3.0 program places a strong emphasis on value-based purchasing, rewarding providers for quality and cost-effective care. This shift is central to improving outcomes and ensuring Medicaid recipients receive better, more coordinated services.
Category: Healthcare Payers
Florida’s SMMC 3.0 Aims to Advance Medicaid Managed Care In The State
Florida’s Statewide Medicaid Managed Care (SMMC) 3.0 program, launched on February 1, 2025, introduces significant enhancements aimed at improving care coordination, integrating behavioral analysis services, and piloting managed care for individuals with intellectual and developmental disabilities.
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Pennsylvania Reduces IDD Emergency Waiting List, Expands Home and Community-Based Services
The Shapiro Administration cut Pennsylvania’s IDD emergency waiting list by 19% and enrolled 3,000+ individuals in services, supported by major budget investments in the 2024-25 fiscal year.
Illinois Awards $12 Billion in D-SNP Contracts to Four Health Plans
Illinois has awarded $12 billion in contracts to four health plans as it transitions to a fully integrated D-SNP model for dual-eligible beneficiaries beginning in 2026.
Staffing Shortages Remain the Biggest Challenge for Home-Based Care Industry
A recent survey highlights staffing shortages as the biggest challenge for home-based care providers, while most companies plan to focus on organic growth in 2025.
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