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
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State Medicaid Managed Care Plans Can Spend Up To 5% Of Premiums On Social Determinants Of Health
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FCC & HHS To Allow Managed Care Plans & States To Text Medicaid Beneficiaries To Warn Of Enrollment Changes
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Medi-Cal Moves All Dual Eligible Beneficiaries To Managed Care
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Managed Care Plans Cover 90% Of Medicaid Beneficiaries

The Medicaid Managed Care Shift
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Latest Resources
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- Anthem Blue Cross and Blue Shield - Winning Proposal & Contract for Risk-Based Managed Care Long-Term Services and Supports to Indiana Family and Social Services Administration, 2023
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Latest Industry News
- FCC & HHS To Allow Managed Care Plans & States To Text Medicaid Beneficiaries To Warn Of Enrollment Changes
- State Medicaid Managed Care Plans Can Spend Up To 5% Of Premiums On Social Determinants Of Health
- Amedisys Signs Case-Rate Contract With CVS-Aetna Medicare Advantage Plan For Home Nursing Services
- Medi-Cal Moves All Dual Eligible Beneficiaries To Managed Care
- Managed Care Plans Cover 90% Of Medicaid Beneficiaries