Innovative Value-Based Contracting & Alternative Payment Models – The Health Plan Perspective

Representatives from Centene’s health plans in Kansas and Iowa shared their perspectives on value-based reimbursement and improving the performance of health plans for individuals with I/DD. Their session covered I/DD member initiatives, including value-based contracts for competitive employment and for nursing facility and intermediate care facility transitions covering social drivers of health and value-based contracting; an alternative payment model for supporting persons with I/DD and high-risk behavioral needs (Health Home P4P); crisis support initiatives for persons with I/DD and challenging behavior like intensive residential service homes; and psychotropic Medicaid utilization reviews . . .