Millions face uncertainty with recent policies destabilizing Medicare and Medicaid and rolling back protections for consumers. Learn how these changes affect consumers, vulnerable communities, and healthcare outcomes.
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 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.
While MLTSS expands access to home-based care, its success depends on addressing key challenges like workforce shortages, eligibility barriers, care coordination gaps, and transitions from institutional care. Here’s what needs to be done to improve these programs.
Massachusetts and Colorado offer strong MLTSS programs that help Medicaid beneficiaries receive in-home care rather than entering nursing facilities. Their programs provide personal care, home health services, and caregiver support to promote independent living.
Managed Long-Term Services and Supports (MLTSS) help Medicaid enrollees receive in-home care rather than institutional care. These programs focus on independence and quality of life for individuals with long-term care needs.
Consumer-directed programs offer personalized care and independence. Dive into state-specific approaches and discover the impact of these programs across the U.S.
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.
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.
In this blog, we’ll explore the origins of the CCBHC model, how it has been implemented, recent expansions, and the benefits it brings.