New CMS Proposal Aims to Enhance Transparency & Access in Medicaid Managed Care
Discover how the CMS proposal seeks to improve access, transparency, and quality of healthcare for beneficiaries of Medicaid managed care and CHIP.
Value-Based Payment News
California Pledges Millions to Strengthen the Future of Behavioral Health Care Workforce
Discover how California is investing millions to support the next generation of behavioral health care workers, fostering innovation and strengthening mental health services across the state.
Florida Releases Medicaid Managed Care ITN
Florida releases its Statewide Medicaid Managed Care Invitation to Negotiate, seeking to enhance the program’s effectiveness and efficiency. Read on for more details.
VBID Model Takes on Social Determinants of Health in Medicare Advantage
Medicare Advantage has taken a new step towards addressing the social determinants of health with the VBID model. This innovative model focuses on improving health equity and better outcomes by incentivizing plans to take action on social determinants of health.
Medicare Advantage Beneficiaries Report High Satisfaction, Yet Face Financial Challenges
Despite high satisfaction rates, Medicare Advantage beneficiaries are struggling with out-of-pocket costs and barriers to accessing care.
BCBSRI Honors Healthcare Sites for Exceptional LGBTQ-Inclusive Care
Learn how BCBSRI is honoring healthcare sites that emphasize and advocate for LGBTQ-inclusive care, and explore the essential factors that define remarkable service.
Providers and Health Insurers United on Protest of Proposed Payment Rule
CareFirst BlueCross BlueShield formed a strategic alliance with Aledade, Inc. They will jointly offer independent primary care physicians the tools and resources necessary to help them achieve value-based care goals.
New Value-Based Care Partnership Unveiled by CareFirst BCBS
CareFirst BlueCross BlueShield formed a strategic alliance with Aledade, Inc. They will jointly offer independent primary care physicians the tools and resources necessary to help them achieve value-based care goals.
NC Medicaid Beneficiaries with Disabilities At Risk if Health Care Providers Don’t Sign With MCOs
NC consumers who use Medicaid and have severe mental illness, substance use disorders or developmental disabilities might have to switch doctors soon if their providers don’t sign contracts with new managed care plans.
Female-Founded Health Tech Startup Addressing SDOH
Spatially Health, a female-founded health tech startup, teamed up with ACO Health Partners in Florida to address social determinants of health.