More Medicaid spending is moving to health plans—and more of those dollars are being paid to provider organizations in the form of some type of value-based reimbursement. That evolution has been happening for a while but the extent of the change over the past decade has been significant. The current statistics? We know that 67% of Medicaid consumers are enrolled in some type of health plan, with 55% of Medicaid budgets going to health plan payments. Approximately 93% of Medicaid managed care organizations (MCOs) reported using value-based payments (VBPs) or alternative payment models (APMs) during 2019. About . . .

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