As part of state efforts to improve quality and reduce costs, many state Medicaid programs have begun requiring managed care organizations (MCOs) to increase their use of value-based payment (VBP) methods. Some states require MCOs to use specific payment models while other states set VBP targets and are less prescriptive. To understand how these contracting strategies are working in practice, MACPAC contracted with Bailit Health to conduct structured interviews with state officials, MCOs, and other stakeholders in five states. Part I of this session provides background information on VBP, an overview of the methods used to examine state efforts, and a summary of the study’s key findings.
Part II of the session features a panel discussion with three representatives of organizations interviewed for the study:
- Bryan Amick, deputy director for the Office of Health Programs, South Carolina Department of Health and Human Services; and
- Tom Mattingly, senior vice president of provider networks, CareSource; and
- Catherine Anderson, senior vice president of policy & strategy, UnitedHealthcare Community & State.*
The session concluded with Commissioners’ perspectives on the study’s findings and possible next steps.