New York Medicaid Program Considers Value-Based Payment Model For Pediatrics

The New York Medicaid program is developing a value-based payment (VBP) approach specific to children’s health services. The proposed arrangement would span the full continuum of primary care for children without disabilities who are enrolled in managed care, including prevention, treatment, and care management. The state has not yet developed a proposed payment methodology and the state’s timeline for launching a child-specific VBP arrangement has not been disclosed.

Through a payment model, primary care provider organizations would have more flexibility to implement strategies such as social needs screening. However, the state has not yet selected a . . .