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Arkansas: A Leading Laboratory for Health Care Payment and Delivery System Reform

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As states’ Medicaid programs continue to evolve from traditional fee-for-service to value-based health care delivery, there is growing recognition that systemwide multipayer approaches provide the market power needed to address the triple aim of improved patient care, improved health of populations, and reduced costs. Federal initiatives, such as the State Innovation Model grant program, make significant funds available for states seeking to transform their health care systems. In crafting their reform strategies, states can learn from early innovators. This issue brief focuses on one such state: Arkansas. Insights and lessons from the Arkansas Health Care Payment Improvement Initiative (AHCPII) suggest that progress is best gained through an inclusive, deliberative process facilitated by committed leadership, a shared agreement on root problems and opportunities for improvement, and a strategy grounded in the state’s particular health care landscape.

Publication Details

Publication Date: August 19, 2014
Author: Deborah Bachrach, Lammot du Pont, and Mindy Lipson
Contact: Deborah Bachrach, Partner, Manatt, Phelps & Phillips, LLP

D. Bachrach, L. du Pont, and M. Lipson, Arkansas: A Leading Laboratory for Health Care Payment and Delivery System Reform, The Commonwealth Fund, August 2014.


Deborah Bachrach
Partner, Manatt, Phelps & Phillips, LLP