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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Medicaid FFS More Likely To Cover Opioid Use Disorder Treatment Than Medicaid Managed Care
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New Mexico Releases Medicaid Managed Care RFP For Turquoise Care
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Texas Recommends Transitioning Medicaid-Only Services For Dual Eligibles Into Managed Care
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Louisiana To Begin Auto-Assigning Medicaid Beneficiaries Into New Managed Care Plans
On October 5, 2022, the Minnesota Department of Human Services (DHS) finalized new Medicaid managed care organization (MCO) contracts to for the Families and Children Medical Assistance (MA) and MinnesotaCare … Continued Read
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Latest Industry Bulletins
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Latest Industry News
- Medicaid FFS More Likely To Cover Opioid Use Disorder Treatment Than Medicaid Managed Care
- New Mexico Releases Medicaid Managed Care RFP For Turquoise Care
- Louisiana To Begin Auto-Assigning Medicaid Beneficiaries Into New Managed Care Plans
- Minnesota Awards Medicaid Managed Care Contracts Covering Individuals Outside Twin Cities & Statewide Contracts For Elderly & Disabled Beneficiaries
- Texas Recommends Transitioning Medicaid-Only Services For Dual Eligibles Into Managed Care
