States Testing Value-Based Payments In Medicaid Managed Care

Modern Healthcare

States and Medicaid managed care organizations are experimenting with value-based payment models, but their policy choices come with difficult tradeoffs. Federal law gives states plenty of flexibility to encourage value-based payments in Medicaid managed care, but rolling out those payment reforms requires a lot of effort from states, according to new research presented by the Medicaid and CHIP Payment and Access Commission’s staff at a meeting on Thursday.

“There’s this general sense out there that value-based payments are going to save the world,” said MACPAC commissioner Tricia Brooks, a research professor at the Georgetown University McCourt School of Public Policy’s Center for Children and Families. “That if more states would adopt them, it’s going to take care of a lot of our problems, and I think the jury’s still out on that.”

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