High performance health care for vulnerable populations: a policy framework for promoting accountable care in Medicaid
- Collection:
- Health Policy and Services Research
- Contributor(s):
- Bachrach, Deborah. Bernstein, William. Karl, Anne. Commonwealth Fund.
- Publication:
- [New York, N.Y.] : Commonwealth Fund, [2012]
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Accountable Care Organizations -- organization & administration Health Care Reform Insurance, Health -- organization & administration Medicaid -- organization & administration State Health Plans -- organization & administration Vulnerable Populations Benchmarking Cost Savings Dual MEDICAID MEDICARE Eligibility Health Insurance Exchanges Insurance, Health, Reimbursement Managed Care Programs Medicare State Government Humans United States United States.
- Genre(s):
- Technical Report
- Abstract:
- The Affordable Care Act and state Medicaid reform efforts present opportunities to reengineer health care payment and delivery systems to promote higher performance. This opportunity will be squandered, however, unless Medicare and Medicaid work collaboratively to develop a common framework for providers. This report explores how state Medicaid agencies might align with and build on the Medicare Shared Savings Program, which rewards groups of providers that meet cost and quality benchmarks by working together to coordinate patients' care in accountable care organizations (ACOs). While the Shared Savings Program applies only to fee-for-service Medicare beneficiaries, federal policymakers recognize that the ACO infrastructure can be leveraged to other populations. Indeed, ACOs are most likely to succeed if they deploy care management strategies across all patient populations. Medicaid beneficiaries could benefit from payment and delivery system reform initiatives aligned with the Shared Savings Program, and state Medicaid programs could reap considerable savings.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101598924 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101598924