Center for Managed Care Solutions & Innovations

Center for Managed Care Solutions & Innovations

The Center for Managed Care Solutions & Innovations is LeadingAge’s clearinghouse for information, resources, networking, and assistance about the relationship between managed care, both Medicare and Medicaid, and post-acute and long-term services and supports providers. Here you can find information, education and tools providers need to participate in managed care, integrated service delivery and alternative payment models, such as accountable care organizations and/or bundled payments. Questions? Contact us.

  1. What Have We Done for You Lately? – January 2019

    Here’s an overview of our work for you in January 2019.

  2. What’s on the Horizon for Managed Care in 2019?

    New Rules:  The passage of legislation in 2018, such as the Bipartisan Budget Act of 2018 which contained provisions of the CHRONIC Care Act, will lead to changes in the types of benefits Medicare Advantage (MA) plans may offer in 2020 and beyond and what is expected of both MA and Special Needs Plans (SNPs).  CMS closed 2018 ...

  3. Final “Pathways to Success” ACO Rules Speed Up Pace of Provider Risk

    As the potential downside financial risk escalates, we anticipate greater pressure to be exerted on providers participating in those ACOs to avoid hospitalizations, reduce the frequency and duration of Skilled Nursing Facility stays and improve care transitions between settings. These care delivery pattern shifts will increase ...

  4. What Have We Done for You Lately? – December 2018

    Here’s an overview of our work for you in December 2018.

  5. A Closer Look at 2019 MA Plans' HCBS Supplemental Benefits

    The first report issued by the Long-Term Quality Alliance (LTQA) summarizes findings from interviews with seven Medicare Advantage organizations discussing how they approached the issue of whether or not to take advantage of ...