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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Minnesota Rebids Medicaid Managed Care & MinnesotaCare For 80 Counties
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Humana & Vancouver Clinic Open ‘Enliven’ Value-Based Primary Care Clinic In Oregon
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Provider Organizations In Medicare Home Health Value-Based Model Outperforming Non-Participating Providers In 9 States
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Colorado Medicaid Implements Two Pharmacy Value-Based Contracts With Novartis
The proportion of U.S. health care reimbursement dollars paid in advanced value-based reimbursement (VBR) models—contracts with shared savings, downside financial risk, and/or population-based payments—just passed 40%. The slow adoption of … Continued Read
Latest Resources
- I/DD Care Coordination Evolves
- Consumer Experience, Margins & On-Site Pharmacies
- Medicaid Moves Ahead With VBR
- A National Emergency - How Do We Fix The Children’s Services Crisis?
- Oklahoma Long-Term Services & Supports System: An OPEN MINDS State Profile
- Maine Medicaid System: An OPEN MINDS State Profile
- The New Partnership
- Your Payer Relationships Need To Grow
- Wisconsin Medicaid System: An OPEN MINDS State Profile
- Kentucky Behavioral Health System: An OPEN MINDS State Profile
- Indiana Behavioral Health System: An OPEN MINDS State Profile
- The Shift OF Foster Care Kids To Managed Care
- The Evolution Of Peer Mentor Training Programs For People With I/DD — A North Carolina Case Study
- How "Integrated" Are We?
- Utah Medicaid System: An OPEN MINDS State Profile
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Latest Industry Bulletins
- Fresenius Medical Care North America Partners With 1,000+ Nephrology Professionals For New Kidney Care Payment Models
- Global Nephrology Solutions Joins Medicare’s New Kidney Care Choices Model
- DaVita Integrated Kidney Care Launches 11 Value-Based Care Programs Across United States
- NCQA Accredits Somatus’ Kidney Care Management For Population Health & Case Management
- Vida Health Virtual Chronic Care Solution Puts 100% Fees At Risk For Both Physical & Mental Health
Latest Industry News
- Provider Organizations In Medicare Home Health Value-Based Model Outperforming Non-Participating Providers In 9 States
- Massachusetts Rebids Medicaid ACOs, With New Expectations For Primary Care Integration
- Colorado Medicaid Implements Two Pharmacy Value-Based Contracts With Novartis
- Louisiana Awards Medicaid Managed Care Contracts With Enhanced Focus On Behavioral Health Integration
- Cigna Expands RecoveryOne Partnership To Tennessee Medicare Advantage Members
