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
MLTSS
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.
Tennessee’s Strong MLTSS Program
Tennessee has built a strong structure for their Medicaid-managed long-term services and supports community with a program they launched in 2010 called CHOICES. Their program has been revered for its flexibility, high quality, and consumer-first approach.
Iowa’s Health Link Drops the Ball
Iowa’s IA Health Link launch left both providers and consumers frustrated by putting their budget before the quality of care. We analyze the missteps they took after setting unrealistic timelines for the work that needed to be done. Their MLTSS program continues to serve as a learning tool for other state’s roll outs.
Arizona’s MLTSS Program sets the VBP Standard
First up in our review of value-based purchasing in managed care MLTSS programs is Arizona. The program has gone through a variety of upgrades and changes.
Managed Long-Term Service and Supports – A New Experienced Review
New Blog Series Launch: Looking at 25 states’ MLTSS managed care programs from an advocate-centered point of view
Pay for Performance – An Opportunity for Self-Direction in HCBS
Break Through Value-Based Payments Pay for Performance – An Opportunity for Self-Direction in HCBS THE VBP Blog Roughly a year ago we did a blog on Payment for Performance that took a look at the second step in the Value-Based Continuum. Pay for Performance (P4P) is the model that sets metrics to incentivize providers to achieve, advance, and exceed through their quality of care. We talked about the pros – sustainable metrics can lead to higher quality care – and the cons – lower social-economic status areas will have inevitable bad outcomes and thus receive less funding. The P4P model is undoubtedly the longest standing and fastest growing[2] above its counterparts in shared savings, bundling, and shared risk models. In… Read More »Pay for Performance – An Opportunity for Self-Direction in HCBS
How Did These Six States Launch I/DD Managed Care?
Deep dives into six states’ working managed care programs found some that achieved great success and others that stumbled right out of the gate.
Looking at States’ Managed Care Programs: Arkansas and Wisconsin
This week’s blog will break down the Arkansas and Wisconsin I/DD managed care programs.
Looking at States’ Managed Care Programs: Kansas and Texas
Break Through Value Based Payments Looking at States’ Managed Care Programs: Kansas and Texas THE VBP Blog Happy New Year! Let’s start 2020 where we left off in our last blog. We will review two of the ten states that currently are supporting the I/DD population with managed care programs. Using the Ancor 2018 White Paper, combined with our own research, we opted to break down Texas and Kansas. Both contract with Multi-state Commercial MCOs to administer their programs. Kansas’ fully capitated, MCO-based, state-wide program is called KanCare, started in 2013 with the I/DD enrollment portion starting in 2014. As of the end of 2017 there were 8954 people on the KanCare I/DD Waiver program. The initial goals for KanCare… Read More »Looking at States’ Managed Care Programs: Kansas and Texas
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