Value Based Payments

Looking at States’ Managed Care Programs: Arkansas and Wisconsin

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Break Through Value Based Payments Looking at States’ Managed Care Programs: Arkansas and Wisconsin The VBP Blog This week’s blog will break down the Arkansas and Wisconsin I/DD managed care programs. We have covered four states in past blogs including Iowa, Tennessee, Kansas, and Texas. We decided to do these deep dives since every one of the ten states that have tried, are approaching managed care for the I/DD population… Read More »Looking at States’ Managed Care Programs: Arkansas and Wisconsin

Looking at States’ Managed Care Programs: Kansas and Texas

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Break Through Value Based Payments Looking at States’ Managed Care Programs: Kansas and Texas The VBP Blog Happy New Year! Let’s start 2020 where we left off in our last blog. We will review two of the ten states that currently are supporting the I/DD population with managed care programs. Using the Ancor 2018 White Paper, combined with our own research, we opted to break down Texas and Kansas. Both contract with Multi-state… Read More »Looking at States’ Managed Care Programs: Kansas and Texas

Looking at States Managed Care Programs: Iowa and Tennessee

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Break Through Value Based Payments Looking at States’ Managed Care Programs: Iowa and Tennessee The VBP Blog Managed care has been a slow mover for the I/DD population in multiple states. As of 2019, there are 229,817 Medicaid consumers with an intellectual/developmental disability (I/DD) enrolled in Medicaid managed long-term services and supports (MLTSS) programs.[1] In fact, only ten states have adopted a policy for populations with special needs at all.… Read More »Looking at States Managed Care Programs: Iowa and Tennessee

Quality in I/DD and MLTSS – Part 2

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Break Through Value Based Payments Quality Measures for the I/DD and MLTSS Communities – Part 2 The VBP Blog While there are many interesting developments in the MLTSS and Behavioral Health arenas, we wanted to continue the conversation about the measures used in the evaluation of I/DD Services in a managed care environment. In this blog we will share the indicators brought forth by The Council on Quality and Control’s… Read More »Quality in I/DD and MLTSS – Part 2

Onward Towards Value Based Payments in Human Services

Fady Sahhar of XtraGlobex to Speak on Multiple Panels at the 2019 RCPA Conference FOR IMMEDIATE RELEASE: (Philadelphia, PA, September 21, 2019) XtraGlobex, Inc. President and Founder Fady Sahhar will share insights about the challenges and rewards of Value-Based Payments in the delivery of Managed Long Term Services and Supports in two informational sessions and a panel discussion at the 2019 Rehabilitation & Community Providers Association Conference, “IMPACT,” September 24-27,… Read More »Onward Towards Value Based Payments in Human Services

Laying the Ground Work for I/DD and VBP

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Laying the Ground Work for I/DD and VBP There are an estimated 7.3 million people in the United States with an intellectual or developmental disability (I/DD). As we look toward the future of taking care of this large population, states will have to transition from purely Medicaid Managed Care (MMC) to value based care options. Currently states are moving at a slow pace adopting the value-based options for this population. Actually… Read More »Laying the Ground Work for I/DD and VBP

VBP Risk Capitation Pros and Cons

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Break Through Value Based Payments Part 10: Risk Capitation Pros and Cons THE VBP BLOG Welcome back to THE VBP Blog Series. Continuing our drill-down into risk-sharing in Value Based Payments, in today’s blog we look at the capitation model. As the ever-challenging task of lowering healthcare costs continues to come to the forefront, organizations may look to capitation, which requires that providers take on the full financial risk for the care of their… Read More »VBP Risk Capitation Pros and Cons

VBP Risk Sharing

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Part 9: Risk Sharing The VBP Blog Welcome back to THE VBP Blog Series. As many of you have asked for continuing the global view of Value Based Payments, in today’s blog we look at how contracting entities take part in risk-sharing arrangements. This is usually an option for mature VBP organizations, with proven stable data tracks and clear quality controlled processes. Risk sharing involves actually foregoing revenues if goals are not… Read More »VBP Risk Sharing

VBP Succeeding with Payment for Outcomes

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Breaking Through Value Based Payments Part 7: Succeeding with Payment for Outcomes Value Based Payments are leading us to focus on the outcomes we can deliver and to have providers share in the savings.  However, the real success of payment for outcomes is in better health outcomes, longer periods without a need for higher-level care, and better quality of life for consumers.  The Advocate’s Perspective in this blog focuses on… Read More »VBP Succeeding with Payment for Outcomes