Early State Efforts to Advance Value in Medicaid Managed Long-Term Services and Supports Programs

This article looks at how State Medicaid programs are adopting value-based payment (VBP) models to reward value — or high quality, cost-effective care — for the long-term services and supports they provide to beneficiaries. Medicaid-managed long-term services and supports (MLTSS) programs seek to rebalance care toward home- and community-based services (HCBS), provide incentives for high quality care, and control cost growth.