Integrating Medicaid supplemental payments into value-based purchasing
- Author(s):
- Mann, Cindy, author Bachrach, Deborah, author Lam, Alice, author Codner, Sarah Sullivan, author
- Contributor(s):
- Commonwealth Fund, issuing body.
- Publication:
- [New York, New York] : Commonwealth Fund, November 2016
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Economics, Hospital Insurance, Health, Reimbursement -- statistics & numerical data Medicaid -- economics Value-Based Purchasing Federal Government Health Care Reform -- economics Medicaid -- statistics & numerical data Reimbursement, Disproportionate Share -- statistics & numerical data State Government Humans United States Centers for Medicare & Medicaid Services (U.S.)
- Genre(s):
- Technical Report
- Abstract:
- Background: In recent years, Medicaid supplemental payments have grown in importance as a way for states to support safety-net hospitals and compensate providers for low payment rates. However, because these payments are typically not tied to services or quality, they detract from states' efforts to support value-based purchasing. Goal: To review state and hospital reliance on these payments and describe how the funds might be redeployed. Methods: The authors held interviews and roundtables with current and former state Medicaid officials and hospital leadership; conducted a review of state Medicaid authorities to identify examples of supplemental payment methodologies; and analyzed relevant federal policies and datasets. Key findings: Change is coming for supplemental payments, prompted by state efforts to move to value-based Medicaid payment systems, growth in managed care, and new federal rules and oversight. Because of the way the nonfederal share of these payments is typically funded, reform may require a shift in both how these funds are distributed and how they are financed. Conclusions: While challenging, several options exist to redeploy Medicaid supplemental payments to align with states' efforts to promote high-quality, cost-effective care, ensure fair payment rates, and support safety-net hospitals.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file (24 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101697154 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101697154