MLTSS is one of the most consequential design choices in Medicaid. This overview explains where it came from, what it covers, why it matters, and how value-based payment is increasingly shaping MLTSS contracts.
Florida’s ICMC Medicaid program for individuals with IDD expanded statewide in 2025, leading to a membership increase for Florida Community Care. Learn more about the program’s impact.
Medicare Shared Savings Program ACOs saved the program $4.1 to $8.1 billion between 2012 and 2019, with smaller physician-led organizations showing the most impact.
Idaho plans to shift all Medicaid services to private managed care by 2029, with health officials cautioning the transition must be gradual to avoid disruption.
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
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.
Florida’s Medicaid program has introduced a pilot initiative transitioning waiver services for individuals with intellectual and developmental disabilities to managed care in two regions.
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.
Learn how value-based payment models, from bundled payments to accountable care organizations, are changing the healthcare industry by improving care quality and reducing costs. Explore the results of these initiatives and their impact on patients and providers.
Value-based payments (VBP) prioritize quality care over the volume of services, benefiting consumers with better outcomes and providers with financial incentives. Learn how VBP models promote preventive care, reduce costs, and create a more patient-centered healthcare system.