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State Oversight and Innovations in Medicaid-Managed Long-Term Services and Supports (MLTSS) Serving Older Adults and People with Disabilities 

NASHP

All states, with the exception of California and Virginia, have created at least one separate MLTSS program targeted toward adults 65 and older or individuals dually eligible for Medicare and Medicaid (dual eligibles). The following table provides a snapshot of the states and MLTSS programs selected for this project.

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Centers for Medicare and Medicaid Innovation Center: Equity and Vision

Sheppard Health Law

On October 20, 2021, the Centers for Medicare and Medicaid (“ CMS ”) Innovation Center (“ Innovation Center ”) published a white paper detailing its vision for the next ten years: a health system that achieves equitable outcomes through high quality, affordable, person-centered care.

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Unpacking CMS’s Final Rules on Medicaid Access and Managed Care

NCQA

The Centers for Medicare & Medicaid Services (CMS) recently announced two major updates to Medicaid regulations. This blog will delve into their significance and key policy implications for states and managed care organizations (MCO). Consider Using In Lieu of Services (ILOS).

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Why Value-Based Care Begins with Quality Education

Home Health Care

The shift to value-based care. Connecting training with outcomes serves patients and staff, but the shift to value-based care means attention to outcomes is imperative as home-based care transitions to rewarding providers for the quality of the care they deliver. This article is sponsored by CareAcademy.

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Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care

NASHP

Since 2014 (first under its “Dual Demo” demonstration and then later via D-SNP contracts), the state has enabled Medicaid MCOs to participate in value-based purchasing through its Integrated Care System Partnerships (ICSP) model. Enhance federal advance care planning requirements. The state and U.S.

Medicaid 102
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CMS Announces Strategy on Value-Based Payments for Specialty Care

Sheppard Health Law

The Centers for Medicare & Medicaid Services (CMS) Innovation Center continues to move forward with its “strategic refresh” initiative. Through this shift, CMS aims to examine and enhance payments for specialty care provided to Medicare beneficiaries. Value-Based Care and ACOs.

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How State Medicaid Programs Serve Children and Youth in Foster Care

NASHP

In response to the growing recognition of the value of investing in strategies that better serve children in or at-risk of out-of-home placement, a number of federal initiatives have emerged, resulting in significant changes to child welfare and spurring renewed efforts to better integrate care across child-serving systems. [5]