Healthcare at Home Blog Series: A Snapshot
COVID-19 made home health for more than the elderly. The shift towards making the home a healthcare hub is supported by policies and improved health outcomes
value based payments
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
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.
Next Generation ACO Model Will Not Be Extended
The Next Generation ACO Model will come to an end on Dec. 31, 2021, as planned after CMS found no net savings to Medicare during the model’s run.
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
Value-Based Payments Growth Trends…. Are You Ready?
Value-Based Payments Growth Trends…Are You Ready? THE VBP Blog We are exploring value-based growth trends this week. Current data shows Medicaid managed care programs using value-based payments programs have experienced steady growth over the past few years, 67% of Medicaid’s 74 million consumers are enrolled in some type of health plan and 55% of Medicaid budgets are going to health plan payments. Of all Medicaid MCO respondents, 93% utilized a value-based purchasing (VBP) or alternative payment model (APM), according to a survey done in 2020 by Medicaid Innovation. That is an increase of 14% since 2017. The survey covered 2019 data taken from Medicaid managed care organizations (MCOs), and the trend continues Enrollment Growth Trends Enrollment also continues to climb,… Read More »Value-Based Payments Growth Trends…. Are You Ready?
The Four Pillars to Build On in a VBP Environment
Four Pillars to Build On in a VBP Environment THE VBP Blog [1/14/2021] In 2020, we took on the monumental task of evaluating all ten states that offered managed care programs for the Intellectual and Developmental Disabilities (I/DD) population. In our final blog of that series, we broke down our findings into four main pillars. These frameworks provided structure across the many different approaches over the ten states. At the end of 2020, we offered our commitments as a company and in this blog we take a look at how those cross over. 4 Pillars of Reviewing Value-Based Care in I/DD Managed Care Time Matters: more than almost any other factor, the states that gave themselves time for a methodical… Read More »The Four Pillars to Build On in a VBP Environment