Some states are using value-based payment (VBP) models as a way to improve the maternity care for Medicaid beneficiaries. States have implemented a number of different models, including perinatal episodes of care, pay for performance, and pregnancy medical homes.
This brief provides background on VBP models and describes how five states (Arkansas, Connecticut, Colorado, North Carolina, and Tennessee) are using VBP for maternity care. The brief concludes by discussing key themes that emerged from examining these models.
Our analysis draws on work that was conducted under a contract with RTI International to study how state Medicaid programs are using VBP for maternity care. In addition to state document reviews, the project included a series of semi-structured interviews with state and federal officials, managed care organizations, providers, beneficiary advocates, and national experts.
For more details on each state’s VBP model, see MACPAC’s state-specific fact sheets below.