California Enacts Law Mandating Oversight of AI in Medical Necessity Decisions
California requires licensed healthcare professionals to oversee AI medical necessity decisions under a new law aimed at protecting patient care and fairness.
Indiana Lawmakers Push Medicaid Reforms, Address Waitlists and Caregiver Services
Indiana lawmakers are tackling Medicaid reforms, addressing waitlists, caregiver services, and payment delays under the PathWays for Aging program.
Program Structure Matters: A State-by-State Look at Consumer-Directed Programs
Consumer-directed programs offer personalized care and independence. Dive into state-specific approaches and discover the impact of these programs across the U.S.
Iowa HHS Designates Iowa Primary Care Association as Statewide Behavioral Health ASO
The Iowa Department of Health and Human Services has selected the Iowa Primary Care Association to oversee the statewide behavioral health system, enhancing coordination and service delivery.
The Power of Choice – Understanding Consumer-Directed Personal Care Programs
Consumer-directed personal care programs allow individuals to hire and manage their caregivers, offering autonomy and personalized care. Learn how these programs work and why they matter.
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.
Florida Expands Behavioral Health and Supportive Housing Assistance Pilot
Florida’s Agency for Health Care Administration proposes an expansion of its Behavioral Health and Supportive Housing Assistance Pilot, aiming to provide better access to services for residents with mental health and substance use disorders.
Expansion of The Certified Community Behavioral Health Centers (CCBHC) Model Aimed at Transforming Mental Health Care
In this blog, we’ll explore the origins of the CCBHC model, how it has been implemented, recent expansions, and the benefits it brings.
Florida Set to Spend $143 Billion on Medicaid Managed Care Contracts
Florida plans to allocate $143 billion to Medicaid managed care over six years, aiming to enhance healthcare for the poor, elderly, and disabled, under new contracts beginning in 2025.
What’s Next for the Medicare Shared Savings Program?
Learn about the finalized rule from CMS and how it impacts the Medicare Shared Savings Program (MSSP). From prepaid savings to Health Equity Benchmark Adjustment, we discuss it all here.