CMS recently approved Massachusetts and Oregon’s Medicaid 1115 waivers, paving the way for new reforms, expanded access, and innovative programming. Within these multi-hundred page documents are clues as to where the Federal government wants Medicaid programs to go and what changes you may see in other proposed waivers

The ACO REACH offering was billed as the first value-based offering from CMMI to explicitly support health equity–but our analysis shows that the tool used to measure social risk would shift resources away from dense, urban cities with high Black and Latino populations to largely rural areas in the South.