On August 7, the U.S. Senate passed the Inflation Reduction Act (IRA), a $740 billion reconciliation package. The U.S. House of Representatives is expected to vote on the bill by August 12. This expert perspective describes the healthcare provisions included in the IRA, such as provisions to improve the affordability of healthcare for Medicare and Affordable Care Act (ACA) Marketplace enrollees. The expert perspective also describes several significant healthcare policies included in the House-passed Build Back Better Act that were left out of the Senate package.
State Strategies: Value-Based Payment for Medicaid Populations with Complex Care Needs
Erin Taylor, Mary Beth Dyer and Michael Bailit, Bailit Health
Driven to improve care coordination and contain costs by moving away from a volume-based payment model, an increasing number of states are implementing risk-based managed care programs to deliver long-term services and supports (LTSS). As the primary payer for LTSS, state Medicaid programs have a significant interest in ensuring that entities with which they contract deliver high quality and cost-effective care to members. This issue brief identifies ways states can learn from value-based payment models being applied elsewhere to create more accountability for the quality and cost of LTSS.