The Power Of Bundled Rates

Executive Briefing | February 21, 2017
Monica E. Oss In the face of big policy unknowns in health and human services, it appears that one practice is likely to remain with us – reimbursing service provider organizations for value from a wide array of value-based reimbursement models. And the discussion at last week’s 2017 OPEN MINDS Performance Management Institute demonstrated that there is considerable momentum in that direction – see The Value Train Has Left The Station, Building The ‘Next Generation’ Behavioral & Social Service ACO, and Where Are We On The Path To Value-Based Reimbursement?. Supporting that discussion are two recent studies that I found striking – both focused on the shift to bundled rates. (Bundled rates involve grouping all of a consumer’s costs into a single payment, irrespective of the types...

An Update On States With Medicaid 1115 Waivers For Addiction Treatment

Market Intell Report | February 10 2017
In July 2015, the Centers for Medicare & Medicaid Services (CMS) released a new 1115 demonstration waiver opportunity for states, generally known as substance use disorder (SUD) delivery system transformation. Under the delivery system, transformation states are encouraged to better identify consumers with substance use disorder, improve access to treatment, provide a comprehensive and effective array of services, and...

Kentucky Must Pay Relatives Who Care For Children In Temporary Foster Care Placements

News Report | February 19 2017
On January 27, 2017, a federal appeals court ruled that the State of Kentucky must make foster care maintenance payments to relatives who foster a child in the same way that the state pays non-related licensed foster parents. Before this ruling, the Kentucky Cabinet for Health and Family Services (CHFS) inspected the homes of relatives caring for children in...

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