Continuous Innovation in Value-Based Program Design Sets Delaware Apart
An integrated approach to managed care in Delaware is creating true value-based care systems for the state’s LTSS communities
managed care
As We Celebrate 31 years of the ADA There’s Still More Advocacy and Work to be Done
The ADA was the world’s first comprehensive declaration of equality for people with disabilities. However, in the wake of COVID-19, the evidence shows there is still work to be done.
Progress in the Arkansas Provider-Led Managed Care
We take a look at Arkansas’ provider-led network as a groundbreaking new model for Medicaid consumers. Their whole-person approach is a true example of what value-based care can offer consumers and providers.
North Carolina Launches Medicaid Managed Care Program… The Jury Is Still Out
As of July 1st, North Caroline shifted to a Medicaid Managed Care Program. Almost 1.6 million beneficiaries are now receiving the same care in a new way through Medicaid Managed Care health plans.
Infrastructure and Analytics Necessary for Growth of Telehealth
New care delivery models that focus on tech could assist with the adoption of value-based care
Enrollment Opened for NC Medicaid Managed Care
The North Carolina Department of Health and Human Services (NCDHHS) opened enrollment for NC Medicaid Managed Care.
Percent of Children in Medicaid Managed Plans Increases to 94%
Nationwide, the children under 21 enrolled in Medicaid crew to 40.5 million in 2017 from just 23.5 million in 2000.
Humana to Start Serving Medicaid Managed Care and Dual Eligible Residents in South Carolina
The South Carolina Department of Health and Human Services (SCDHHS) recently added Humana Inc. to its Healthy Connections Medicaid program and its Healthy Connections Prime program.
Pay-for-Performance – Developing and Expanding Opportunities
Pay-for-Performance Developing and Expanding Opportunities THE VBP Blog We are circling back to cover pay-for-performance, the second stop on the value-based payment continuum. The pay-for-performance (P4P) model gives providers bonuses for hitting quality and efficiency targets. As we continue to focus on whole-person care, the new normal of hybrid payments continues to shift. According to Health Care Payment Learning & Action Network (LAN), in 2018, 25% of all fee-for-service payments had a link to quality or value, including pay-for-performance models. To understand more of the basics, you can check out our first blog covering P4P. Pay-for-performance is a payment model that attaches financial incentives to provider performance. Incentives can range from small bonuses to large payments, depending on the… Read More »Pay-for-Performance – Developing and Expanding Opportunities
Exploring Bundled Payments
Exploring Bundled Payments THE VBP Blog When we started the VBP Blog back in 2018, we broke down the building blocks in the continuum for Value-Based Payments. In the last blog, we revisited Alternative Payments and what had changed since our original analysis. In this one, we will be covering Bundled Payments and what they mean to Value-Based Payments. Bundled Payments Refresher As a refresher, bundled payments – also known as episode-based payments (EPMs) – are an alternative payment method (APM) in which services are grouped together and a target price is calculated. This target price is the total allowable expenditure throughout an entire episode of care. A bundled price can be set and adjusted based on risk factors, age,… Read More »Exploring Bundled Payments