Medicare & Alternative Payment Models
Expert articles and analysis related to medicare & alternative payment models.
AI Summary â Last 24 Hours
Synthesis:
In the past 24 hours, CMS opened public comment on a proposed 2028 HCBS Quality Measure Set, signaling continued federal attention on home- and community-based services quality within broader Medicare and Medicaid alternative payment models. Simultaneously, signals of industry pressure persist as Humana warned that Medicare Advantage payment rates will not keep pace with rising costs, intensifying scrutiny on the long-term sustainability of risk-based VBC models and margin recovery targets for MA plans [Humana warns Medicare Advantage pay wonât keep up with costs, [CMS Opens Public Comment on Proposed 2028 HCBS Quality Measure Set](https://news.google.com/rss/articles/CBMizAFBVV95cUxQbzdNYS0wR3U2V1
Related Articles
The Association of Medicaid Estate Recovery with Homeownership, Home Equity, and Medicaid Enrollment | Milbank Quarterly | Milbank Memorial Fund
In response to the high cost of state-run Medicaid programs, the 1993 Medicaid estate recovery policy was established to enable states to recover assets from the estates of beneficiaries after death. ...
Medicaid Managed Care Plan Alignment With State Substance Use Disorder Treatment Coverage Requirements | Milbank Quarterly | Milbank Memorial Fund
Medicaid is the largest payer of substance use disorder (SUD) treatment in the United States. Managed care plays an important role, administering benefits for more than 80% of Medicaid enrollees. Whil...
FDA and CMS coordinate to streamline Medicare coverage for certain new medical devices
Election Year Politics and Policy at CMMI: What Stakeholders Can Expect
Election Year Politics and Policy at CMMI: What Stakeholders Can Expect  The National Law Review
Election Year Politics and Policy at CMMI: What Stakeholders Can Expect
Election Year Politics and Policy at CMMI: What Stakeholders Can Expect  The National Law Review
Chairman Smith Is Right About the Need for a Site-Neutral Policy in Medicare
Chairman Smith Is Right About the Need for a Site-Neutral Policy in Medicare  American Enterprise Institute - AEI
Humana shifts stance on Medicare Advantage benefit cuts
Humana shifts stance on Medicare Advantage benefit cuts  Modern Healthcare
Profit recovery is âpriority No. 1,â Humana promises
Humanaâs foremost priority is returning to 3% Medicare Advantage margins in 2028, CEO Jim Rechtin repeatedly promised investors on Wednesday morning. Still, the insurerâs profits dipped in the first q...
Humana on track for 25% growth in Medicare Advantage membership
Humana expects Medicare Advantage membership growth of 25% this year, driven in large part by the retention of existing members, said President and CEO Jim Rechtin during Wednesday's Q1 earnings call....
A Closer Look at Rural Nursing Homes
This analysis compares the characteristics of nursing homes in rural areas with those in urban areas. This brief uses data from Nursing Home Compare, a publicly available dataset that provides a snaps...