Care coordination models matter. The approach that a payer takes to care coordination fundamentally changes the service delivery system—and provider reimbursement. For specialty provider organization executive teams, understanding the care coordination models preferred by payers is critical to strategy, referral generation, revenue and growth, reimbursement, and marketing planning. To help get a bead on the issue, our team conducted an analysis of the Medicaid care coordination models used in each state in our new report, State Medicaid Care Coordination Initiatives: The 2019 Update. We looked at seven models ranging from models that change provider roles within the existing system such…
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