Deloitte August 22, 2017
Recent legislative efforts to repeal and replace the Affordable Care Act (ACA) pushed Medicaid reform into the center of the health policy spotlight. However, while Congress was debating coverage expansion and federal financing, some states have been quietly implementing their own delivery reform in an effort to reward value-based care. Many Republican and Democratic governors alike have embraced alternative payment models (APMs) such as medical homes, accountable care organizations (ACOs), and bundled payments to help improve the efficiency of their Medicaid programs. The goals of many Medicaid APMs are in line with the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and delivery reform efforts in the commercial market. But are there ways to find synergies across these programs...