On January 23, 2023, the Federal Communications Commission issued an important ruling that provides states with new flexibility to support enrollee outreach and communication efforts as part of their processes to unwind the Medicaid continuous coverage requirement. The ruling permits state agencies and their partners to send text messages and make phone calls to individuals about enrollment-related issues not only for Medicaid but for other state-run health insurance programs, including marketplace coverage. This expert perspective reviews the ruling and implications 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.