The shift to value-based care: What it means for your Medicaid plan

Dennis Bolin, Health Plan Alliance

10/26/2017


 

Last week, Health Plan Alliance members gathered in Louisville, KY to discuss what value based care means for their Medicaid health plans. If you missed the event, we've highlighted the key takeaways Alliance members shared. Alliance members can access the available event presentations and podcasts from the documents tab on the event page.

 

#1:  Develop your strategy roadmap and be patient and flexible but stick to your endgame

Presentation: Value-based payment landscape—Implications for Medicaid by HealthScape Advisors
Download the slides

It takes time and you must be thinking ahead
Work cooperatively but stay within the guides you set to succeed
Member engagement is critical to ultimate success but often overlooked

#2:  Build your physician engagement strategy around your key values

Case Study: Passport Health Plan
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Passports key values, which Passport underscores in every discussion with physicians, are led by senior leaders, keeping the focus on what they are working together to accomplish:
Integrity
Community
Collaboration and partnerships
Stewardship

#3: States are looking for comprehensive strategies to care for Medicaid populations and to get the population to take responsibility for their own health and to be engaged in their own healthcare

Case Study:  The policy perspective from the Kentucky Governor’s Office
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Case Study: Indiana’s approach to achieving value in Medicaid
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#4: Managing this population requires engaging the entire person and their environment and daily lives

Case Study:The West Louisville Project (Passport Health Plan)—Engaging the community through a health and wellness center
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