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State Reforms to Change Care Delivery at the Provider Level

This report summarizes work conducted under the second phase of a project to better understand state approaches (including shared savings programs, episode-based payment initiatives, and global budgeting) aimed at improving quality of care under Medicaid and reducing costs.

The report was prepared under contract to the Medicaid and CHIP Payment and Access Commission (MACPAC). The findings, statements, and views expressed in this report are those of the authors and do not necessarily reflect those of MACPAC.

The final report of the first phase of the project can be found here: Paying for Value in Medicaid: A Synthesis of Advanced Payment Models in Four States