As federal health reform legislation has stalled, health policy attention turns to the states, which have many tools to reform their health care systems. While 1115 waivers rightly get a lot of attention, because of their ability to reshape state Medicaid programs, the Affordable Care Act’s Section 1332 waivers continue to be a promising avenue for states.
State-Based Payment Reform Models
Michael Bailit and Mary Beth Dyer, Bailit Health Purchasing, LLC
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 webinar also cites state examples, including Patient-Centered Medical Home (PCMH) supplemental payments, Pay-for-Performance, Episode-based payment, population-based payment and global budgets. Finally, presenters point to additional resources for states interested in payment reform.