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Medicaid & Safety Net

Expert articles and analysis related to medicaid & safety net.

197 articlesLast 7 Days

AI Summary — Last 7 Days

Medicaid VBC stakeholders are facing a sharper compliance-and-financing environment: HHS/CMS under the Trump administration deferred more than $1 billion in Medicaid payments to California and Minnesota tied to alleged fraud/noncompliance in in-home care, while hospitals in high–state-directed-payment states warned that the OBBBA SDP implementation rule could destabilize safety-net financing and supplemental-payment strategies. At the same time, new Medicaid work-requirement implementation is creating coverage-continuity risk—especially for SSI applicants navigating medical-frailty exclusions—raising churn and attribution concerns for Medicaid managed care plans, FQHCs, and population-health programs (KFF on work requirements). Safety-net providers are responding by tightening value-based payment goal-setting and rural VBC investment, including NACHC’s health-center VBP framework and West Virginia’s $10M rural value-based care funding push, but these delivery-transformation efforts now sit against a backdrop of Medicaid payment deferrals and SDP uncertainty (HFMA on SDP concerns).

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