Catalyst for Payment Reform July 9, 2018
Collectively, state Medicaid agencies cover 74 million Americans, more than any other insurer by a longshot, including Medicare. To manage constrained budgets, growing enrollment numbers, and high utilization by high risk members, Medicaid agencies have particularly strong incentives to pursue alternative approaches to delivering high-quality care while reducing spending growth.
Prompted by increased attention on health care budgets from Governors, national policymakers, and other state agencies, many innovative Medicaid agencies are pursuing various models of care delivery and payment beyond the traditional Fee-For-Service (FFS) and Pay-For-Performance (P4P) models, like bundled episode-of-care payment models and population-based payment models, among other innovations.
What can we learn from the Tennessee, Minnesota and Arkansas Medicaid programs, who have each experimented with new payment and...
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