Under Washington State's Medicaid Transformation demonstration, Accountable Communities of Health (ACHs) are collaborating on the implementation of regional transformation projects to address local health priorities, transform the Medicaid delivery system, improve population health, and reduce health disparities. Washington is using Delivery System Reform Incentive Payment (DSRIP) funding to support the transformation projects and reimburse participating providers and partners for achieving milestones and outcomes. Each of the state's nine ACHs must develop a Medicaid transformation project plan articulating how it plans to implement evidence-based strategies within three domains: (1) Health Systems and Community Capacity Building; (2) Care Delivery Redesign; and (3) Prevention and Health Promotion. This resource makes the case for why states should invest in chronic disease prevention and, using Washington as an example, outlines the rationale for why ACHs should pursue Medicaid transformation projects related to prevention and health promotion. It also describes the financial opportunities for ACHs related to Domain 3D projects and available mechanisms, such as population health metrics, managed care organization (MCO) contracting, and the state's Plan for Improving Population Health (P4IPH), that will support ACHs as they work toward Healthier Washington's value-driven goals.
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