Leavitt Partners February, 2018
EXECUTIVE SUMMARY During the first year of the Trump administration, states have grappled with many unanswered questions regarding the new administration’s views on value-based payments (VBPs) and how it would approach state-led or Medicaidbased payment reform initiatives. These include to what extent existing efforts will continue to be supported or renewed, what mechanisms states can or should use to implement VBPs (e.g., DSRIP programs, 1115 waivers, 1115A waivers), what nancial support will be available, and how much ‑ exibility the Centers for Medicare & Medicaid Services (CMS) will...
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