Provider Operations

Hospital-at-home operators are pressing states to add or expand Medicaid coverage for acute care at home, creating a near-term state policy lever for VBC organizations seeking lower-cost substitutes for inpatient utilization and stronger post-acute coordination—especially where Medicare waiver experience can be translated into Medicaid managed care contracts (Modern Healthcare). At the same time, senators introduced a clean extension of cost-based payments for certain rural hospitals, underscoring the tension between stabilizing rural provider finances and advancing prospective/value-based payment models that require predictable attribution, referral capacity, and local access infrastructure ([Fierce Healthcare](https://news.google.com/rss/articles/CBMiswFBVV95cUxPUTZWX09hX24zN0NvaFBvZ09XWnRvZFVJNH