On Wednesday, August 22, the Centers for Medicare & Medicaid Services (CMS) released a State Medicaid Director Letter (SMDL) memorializing CMS policy for ensuring that Section 1115 waivers remain budget neutral to the federal government. The SMDL describes CMS policy for calculating budget neutrality both for new waivers and for extensions of existing waivers with the implications for states with existing waivers, and those seeking to apply for waivers, discussed in this expert perspective.
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.