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

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 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

VBP Bundled Payments

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Break Through Value Based Payments Part 6: Bundled Payments As we move Onward! Along the continuum of Value Based Payments, we examine Bundled Payments in this installment of our series. We have noted that some of these topics require more depth, so you may see our series expand to 12 or more…. This gives us the opportunity to share and advocate even more. Look for our Advocate Perspective below! Bundled… Read More »VBP Bundled Payments

VBP Payment for Performance

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Break Through Value Based Payments Part 5: Payment for Performance We have received very positive response to this series and we continue to see the path of Value Based Payments as a progression, a journey from knowing what you do, how you do it and how well you do it, to capitalizing on the quality of what you share in the value of what you are delivering. Our Advocate’s Perspective is at… Read More »VBP Payment for Performance

Break Through Value Based Payments Part 2: What does it really mean?

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Break Through Value Based Payments Part 2: Value Based Payments… What does it really mean? We are proud to include an advocate’s perspective as part of this blog… Read On. The adoption of value-based care is expected to account for 59% of all healthcare payments by 2020. Read that again. Now one more time. Let’s break down how we got here. Traditionally, payment for health services has run on a model called… Read More »Break Through Value Based Payments Part 2: What does it really mean?

Break Through Value Based Payments: A 10-Part Series of Blogs Focusing on VBP

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Break Through Value Based Payments A 10-Part Series of Blogs Focusing on VBP Blog 1: An Introduction and Path Onward Value Based Payments (VBPs) are coming: are you ready? We are launching a series of blogs diving into this hot topic to help you understand what it is, why it works, and how it can work for you. We will pepper each blog with relevant facts and finish each with a… Read More »Break Through Value Based Payments: A 10-Part Series of Blogs Focusing on VBP

PA DHS Receives $20 Million in Federal Funding to Continue MFP Program

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PA DHS Receives $20 Million in Federal Funding to Continue MFP Program The Centers for Medicare and Medicaid Services awarded Pennsylvania $20 million in federal funding to allow the Money Follows the Person (MFP) grant program to continue. Governor Tom Wolf expressed the importance of the funding, stating that “The Money Follows the Person grant allows Pennsylvania’s Department of Human Services to help thousands of Pennsylvanians live fulfilling, everyday lives… Read More »PA DHS Receives $20 Million in Federal Funding to Continue MFP Program

“Money Follows the Person” Programs Increase Transition Rates into Community While Reducing Overall System Spending

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“Money Follows the Person” Programs Increase Transition Rates into Community While Reducing Overall System Spending “Money Follows the Person” programs (MFP) are becoming increasingly popular across the country, and for good reason. A recent study by H. Stephen Kaye, Ph.D. of the University of California at San Francisco’s Community Living Policy Center, shows that states with strong MFP programs are able to transition patients receiving long-term services and supports (LTSS)… Read More »“Money Follows the Person” Programs Increase Transition Rates into Community While Reducing Overall System Spending

Pennsylvania Assistive Technology Foundation Offers New 6th Edition of its Comprehensive Financial Education Book

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The Pennsylvania Assistive Technology Foundation’s 6th edition of its comprehensive financial education book, Cents and Sensibility: A Guide to Money Management, will be available at its conference on financial empowerment for people with disabilities on October 3, 2019 in Harrisburg. Topics covered include: Money mapping (budgeting) An overview of where to keep your money How to save safely, including information about PA ABLE and a comparison with Special Needs Trusts Borrowing… Read More »Pennsylvania Assistive Technology Foundation Offers New 6th Edition of its Comprehensive Financial Education Book

Onward Towards Value Based Payments in Human Services

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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

XtraGlobex Launches THEVBPblog.com, A Value Based Payment Resource Site

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XtraGlobex Launches THEVBPblog.com A Value Based Payment Resource Site (Philadelphia, PA, July 25, 2019)  The XtraGlobex team announces the launch of THEVBPblog.com, a new resource for health and human service organizations preparing for and contracting in value-based reimbursement models. In addition to The VBP Blog Series, the site will address MLTSS for Aging, Physical Disabilities, and I/DD, Behavioral Health, and Integration with Physical Health models. “We built this with user… Read More »XtraGlobex Launches THEVBPblog.com, A Value Based Payment Resource Site