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.
Learn about value-based payments and how this model shifts healthcare towards improved patient outcomes, reduced costs, and more efficient care delivery. We explore the different types of models, early successes, and challenges in implementation.
Centene Corporation continues its role in Iowa’s Medicaid program with a new six-year managed care contract, maintaining stability for beneficiaries and aligning contract timelines.
The Illinois Department of Healthcare and Family Services is set to rebid its Medicaid managed care contracts, aiming to enhance services for dual-eligible beneficiaries and the general Medicaid population.
Discover how Florida’s Medicaid Managed Care Pilot Program for individuals with IDD aims to improve health outcomes through personalized care plans, integrated services, and continuous monitoring