Value-Based Payment

The proposed Access Rule from the Centers for Medicare & Medicaid (CMS) is a transformational shift that would change requirements in place since 2014. WellSky has recently released a tip sheet providing a framework to plan for the Access Rule and its implications. By starting to plan early, funding may still be available from the American Rescue Plan Act (ARPA). Waiver programs can also learn much from the history of VBP in healthcare, which is briefly described in this tip sheet. This resource will help attendees understand: 1. What is the Access Rule 2. How the Access Rule may lead to value-based payment (VBP) 3. What value-based strategies should you consider

This brief highlights the efforts of states who implemented Value Based Payment initiatives within systems that support individuals with intellectual or developmental disabilities (I/DD). The brief emphasizes the importance of understanding the population and provides an overview of the population served and their length of engagement with the service system. It looks at the experiences of OH and WA in the Medicaid Innovation Accelerator Partnership program from April 2018 to September 2019.

Medicaid value-based payment (VBP) models tie payment to outcomes including quality of care, health status, and costs. This guide presents a checklist of four issues for consideration as states identify issues to consider when developing and adopting value-based payment (VBP) models for HCBS within managed long-term services and supports (MLTSS) programs. The guide also reviews strategies for stakeholder engagement.

Medicaid value-based payment (VBP) models tie payment to outcomes including quality of care, health status, and costs. This guide outlines considerations for adopting value-based payment (VBP) to promote high-quality MLTSS programs. It combines insights from five states - Minnesota, New York, Tennessee, Texas, and Virginia - with input from national health policy experts.

Value-Based Payment (VBP) are alternative payment models that reward high-quality, cost-effective care. While many Medicaid state programs are developing VBP systems for physical health services, they have not made such advances in Medicaid behavioral health care services. The Center for Health Care Strategies’ (CHCS) brief, produced with the California Health Care Foundation, details how five states are innovating their Medicaid managed care organizations through VBP models.