Just last week we covered the likely effects of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) not only on Medicare, but the U.S. health care delivery system as a whole. My colleague Monica E. Oss wrote about Medicare as the last frontier in moving from paying for volume to paying for value (see MACRA: The Big Picture). MACRA demonstrates that paying for value is an evolution (or revolution) in the making.

And having just completed our national survey of state Medicaid health plan contracts, I am inclined to agree. The finding that surprised me? The number . . .

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