ONWARD Takes On A New Meaning

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Onward Takes On A New Meaning! THE VBP Blog Our blog has focused on quality of services and how you can leverage measuring performance to continuously improve satisfaction, support our consumers and keep you ahead of the game.  Today, the challenges you face are monumental, so we will focus on support you and live by our mantra ONWARD! With hourly updates on the COVID-19 situation, having resources you can rely… Read More »ONWARD Takes On A New Meaning

How Did These 6 States Launch I/DD Managed Care?

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Break Through Value Based Payments How Did These Six States Launch I/DD Managed Care? The VBP Blog Over the past several weeks we’ve taken deep dives into six states’ working managed care programs. We found some programs that achieved great success and others that stumbled right out of the gate. As managed care programs continue to grow and develop, we will all continue to learn what works and what doesn’t.… Read More »How Did These 6 States Launch I/DD Managed Care?

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

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

Pay for Performance- An Opportunity for Self-Direction in HCBS

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Break Through Value Based Payments Pay for Performance – An Opportunity for Self-Direction in HCBS The VBP Blog Roughly a year ago we did a blog on Payment for Performance that took a look at the second step in the Value Based Continuum. Pay for Performance (P4P) is the model that sets metrics to incentivize providers to achieve, advance, and exceed through their quality of care. We talked about the… Read More »Pay for Performance- An Opportunity for Self-Direction in HCBS

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