Executive Briefings | July 1, 2016
First Medicare, Now Pennsylvania Medicaid
In April, the Pennsylvania Department of Human Services (DHS) announced groundbreaking changes to its Medicaid HealthChoices physical health managed care program that are a signpost for Medicaid contracting across the country. The big change? The new contract agreements require a shift toward greater value-based payments by managed care organizations (MCO) to provider organizations. In effect, over $6 billion in Pennsylvania Medicaid payments will now be tied to quality and outcomes (see Pennsylvania Medicaid Negotiating With Eight MCOs For Physical HealthChoices Contracts</a . . .