The Future of Paying for Value in Medicaid


Health care payers, including Medicaid, use alternative payment models to encourage providers to deliver efficient, coordinated care rather than simply paying for the number of services delivered. So far, states have mainly used these models with primary and acute-care providers.

In a new post on To the Point, Lindsey Browning and Katherine Minnes of the National Association of Medicaid Directors explain that states are now looking to extend the use of alternative payment models to behavioral health, safety-net, and long-term-care providers, to improve care for high-need patients.

To support the expansion of alternative payment models, the authors suggest that more flexibility may be required from the Centers for Medicare and Medicaid Services to work around federal rules that state that safety-net providers may only be reimbursed based on cost, among other recommendations.

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