Managed Care & Value-Based Reimbursement
The impending shift to value-based reimbursement (VBR) and managed care in the health and human services industry has become a driving force across both public and private sector organizations, not only forcing new operating models and systems, but pushing providers to develop new partnerships with payers and to prepare for population health management. This shift presents organizational, technical, and cultural challenges that require a robust technology infrastructure, data-driven decisionmaking, and new leadership competencies. As behavioral health provider organizations move towards risk-based contracts, those who adapt to this change will have a better opportunity to carry forward in the provision of value-based services.
Editor's Picks
-
Nevada Rebids Medicaid Managed Care Contracts
-
Judge Orders Kentucky To Rebid Medicaid Managed Care Contracts
-
44 Oregon Health Care Systems & Payers Join Compact To Move 70% Of Payments To VBP By 2024
-
Medicare Advantage Plans Testing Hospice Coverage Through Value-Based Insurance Design Model
CMS Announces Plans To Expand The Home Health Value-Based Purchasing Model
Orange County, California is preparing to implement value-based contracting (VBC) as part of its Behavioral Health System Transformation (BHST) Innovation effort funded by the Mental Health Services Act (MHSA). The … Continued Read
Latest Resources
- New Mexico Medicaid System: An OPEN MINDS State Profile
- Making Integration Work – Think Change Management
- Orange County, California Implementing Value-Based Contracting For Behavioral Health In 2022
- Orange County MHSA Innovation Project Plan: Behavioral Health System Transformation
- SilverSummit Healthplan, Inc. - Proposal & Contract For Managed Care Organization Services To Nevada Department of Health and Human Services, 2021
- Molina Healthcare of Nevada, Inc. - Proposal & Contract For Managed Care Organization Services To Nevada Department of Health and Human Services, 2021
- Health Plan of Nevada, Inc. - Proposal & Contract For Managed Care Organization Services To Nevada Department of Health and Human Services, 2021
- Community Care Health Plan of Nevada, Inc. - Proposal & Contract For Managed Care Organization Services To Nevada Department of Health and Human Services, 2021
- Medical Home Network Accountable Care Organization Adds Three Chicago Community Health Centers
- Medicaid: Can We Make Lemonade?
- Nevada Awards Medicaid Managed Care Contracts To Anthem, Centene, Molina & UHC
- Thinking Sustainable New Services? Think Integration
- Mississippi Medicaid System: An OPEN MINDS State Profile
- North Dakota Medicaid System: An OPEN MINDS State Profile
- Consumer Satisfaction = Better Reimbursement
Most Popular
- Federal Panel Changes Status Of Off-Label Use Of Ivermectin As COVID-19 Treatment; Emergency Use Approval Possible - OPEN MINDS
- A Payer’s Perspective On Crucial Integrated Health Components In The 'Next Normal' - OPEN MINDS
- Colorado Awards Jail-Based Restoration Services Contract to Correct Care, LLC - OPEN MINDS
- Four-Step Staffing Model For Integration - OPEN MINDS
Latest Industry Bulletins
- Medical Home Network Accountable Care Organization Adds Three Chicago Community Health Centers
- Ideal Option Enters Addiction Treatment Bundled Payment Model With Oregon Payer PacificSource For Office-Based Opioid Treatment
- Main Street Health Launches To Deliver Value-Based Care In Rural Areas
- Zing Health Acquires Medicare Advantage Plan Provider Lasso Healthcare
- Caron Treatment Centers & Independence Blue Cross Report Value-Based Contract Linked To Lower 90-Day Readmission Rate
Latest Industry News
- Orange County, California Implementing Value-Based Contracting For Behavioral Health In 2022
- Nevada Awards Medicaid Managed Care Contracts To Anthem, Centene, Molina & UHC
- Fresenius & Cigna Expand Value-Based Kidney Care Partnership Through 2023
- Mississippi Medicaid Requires MCOs To Adopt Uniform Credentialing For Provider Organizations
- Minnesota Rebids Integrated Health Partnerships Program
