Reforming the Medicaid Program

Reforming the Medicaid Program On July 10, 2012, the Center for Medicaid and CHIP Services began a series of letters to help states design and implement care delivery and payment reforms within state Medicaid programs. Fueled by provisions in the Affordable Care Act, innovation and creativity are encouraged and incentivized for state programs. Areas of Focus 1. Delivery System Reform- ICMS, flexible incentives for the future of the Medicaid System 2. Modernization- data analytics, EHR 3. Stewardship-outcome vs. quality 4. Collaboration-CMS, States, Patients, Providers, Consumer Advocates The New Buzzword: Integrated Care Models Care that is ... Person-centered Continuous In the form of... Coordinated Implemented as. .. Accountable Care Comprehensive State Plan Options (i.e. Organizations РССМ) Medical/Health Homes Care Coordination Other ACO-type models Payments Other healthcare and Shared Savings financing models Medicaid Demonstrations and Waivers for testing CIPROMS Source: http://www.medicaid.gov/ Reforming the Medicaid Program On July 10, 2012, the Center for Medicaid and CHIP Services began a series of letters to help states design and implement care delivery and payment reforms within state Medicaid programs. Fueled by provisions in the Affordable Care Act, innovation and creativity are encouraged and incentivized for state programs. Areas of Focus 1. Delivery System Reform- ICMS, flexible incentives for the future of the Medicaid System 2. Modernization- data analytics, EHR 3. Stewardship-outcome vs. quality 4. Collaboration-CMS, States, Patients, Providers, Consumer Advocates The New Buzzword: Integrated Care Models Care that is ... Person-centered Continuous In the form of... Coordinated Implemented as. .. Accountable Care Comprehensive State Plan Options (i.e. Organizations РССМ) Medical/Health Homes Care Coordination Other ACO-type models Payments Other healthcare and Shared Savings financing models Medicaid Demonstrations and Waivers for testing CIPROMS Source: http://www.medicaid.gov/