Nationwide on a given night in January 2014, more than 578,000 people were homeless, and one third of these people were sleeping on the streets, in cars, or other places not meant for human habitation. Over the course of a year, about 1.42 million people used a shelter or transitional housing program for homeless individuals or families. Homeless people often have significant health and behavioral health needs that can be very difficult to manage without stable housing, and many people who experience homelessness are Medicaid beneficiaries. As purchasers of health care, state Medicaid agencies have critical roles to play in the delivery of more appropriate and cost-effective care for people with complex health and behavioral health care needs who experience homelessness.
State health care purchasers are increasingly shifting toward value-based purchasing (VBP) strategies that reward providers for value or outcomes as a means of improving care, improving health and reducing overall costs. This webinar examines how states are currently advancing payment reform in their managed care provider networks by moving away from fee-for-service (FFS) and identifies key considerations for states interested in implementing VBP strategies in this environment. Representatives from Arizona and Tennessee share ground-level experiences in adopting VBP strategies in their Medicaid managed care programs.
This suite of issue briefs is geared toward states interesting in value-based purchasing for health care. Part 1 deals with strategic considerations, Part 2 offers an implementation guide, while Part 3 includes a planning template for state purchasers.
Individual and Family Engagement in the Medicaid Population: Emerging Best Practices and Recommendations
In this issue brief, The Institute for Patient- and Family-Centered Care (IPFCC) outlines action-oriented recommendations and strategies to support enhanced individual and family engagement efforts in Medicaid. Research shows that engaged individuals and families actively working with their health care teams have better outcomes, often choose less expensive options when participating in shared decision-making, and express greater satisfaction with their health care experiences.
Approaches to the Integration of Services for Individuals with Intellectual and Other Developmental Disabilities
Based on interviews conducted with I/DD staff in six states, this paper highlights approaches to integrating services within the Medicaid program for individuals with I/DD, and lessons learned from states with integration activities underway.
Tailored to the needs of state officials and other stakeholders involved in measure set creation, this webinar addresses strategies for developing and maintaining aligned quality measure sets.
This guide provides an overview of the steps states should take in developing a performance measure set—either on their own or in partnership with others—identifies critical considerations, and offers guidance in selecting measures.
The final webinar in a three-part series on payment reform, this presentation by Bailit Health Purchasing addresses special topics in payment reform including using state levers to implement payment reform, multi-payer strategies, and measuring delivery system performance.
The second webinar in a three-part series on payment reform, this presentation by Bailit Health Purchasing describes payment reform models being used by state purchasers, including how they work and their strengths and challenges.
The first webinar in a three-part series on payment reform, this presentation by Bailit Health Purchasing addresses how traditional fee-for-service payment impedes state efforts to purchase value and describes the relationship between payment and delivery system reform.