Alternative Payment Models in Medicaid - Deloitte Research: Could MACRA be Catalyst for State Efforts?

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Alternative Payment Models in Medicaid - Deloitte Research: Could MACRA be Catalyst for State Efforts? 
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Medicaid can be overlooked in conversations about value-based strategy, but state initiatives can present major opportunities or challenges for health plans and health care providers. ​Many states have been experimenting with Medicaid alternative payment models (APMs) to try to control spending, improve care, and increase accountability within Medicaid and across the health care system. But have any of these models worked? And how might Medicaid initiatives align with the Medicare Quality Payment Program (QPP) established by the Medicare Access and CHIP Reauthorization Act (MACRA) to reinforce value-based care initiatives and drive system-wide change?

The Deloitte Center for Health Solutions has reviewed research and other literature and conducted interviews with industry experts and stakeholders to learn more about Medicaid APMs, their effectiveness, and how they might need to evolve to maximize their impact. Deloitte found that although many state initiatives are underway, relatively few have been evaluated for their impact on total cost of care of health outcomes. The potential impact of Medicaid alternative payment models on care delivery can depend considerably on how much of a provider's revenue comes from Medicaid. Medicaid models may need to evolve to incorporate more financial risk and increase participants' meaningful use of electronic health records (EHRs) to qualify as advanced APMs under MACRA.

Despite limited evidence, APMs continue to spread, and federal and state policies are increasing pressure on providers and insurers to participate. Aligning Medicaid APMs' design, reporting requirements, and financial incentives with other payers could potentially increase their impact and likelihood of success. This could be particularly true for specialists or other providers who treat a low volume of Medicaid patients.

Please join us Wednesday, October 25th, 2017 at 1 PM Eastern as Deloitte's Erica Cischke and Claire Boozer Cruse share Deloitte's insights and research findings in the HealthcareWebSummit event: Alternative Payment Models in Medicaid -
Deloitte Research: Could MACRA be Catalyst for State Efforts?

Learning Objectives

After attending this webinar, attendees will be able to:

  1. Learn about Deloitte Center for Health Solutions research, literature review, and interviews with industry experts and stakeholders regarding Medicaid APMs.
  2. Share in key findings resulting from Deloitte's study of the Medicaid APM environment.
  3. Understand how Medicaid state flexibility, waivers, and managed care programs play important roles in shaping Medicaid APMs.
  4. Ascertain the current Medicaid APM landscape and the four main types of Medicaid APM initiatives.
  5. Consider how federal CMMI State Innovation Models and DSRIP programs have augmented Medicaid value based care initiatives.
  6. Evaluate the effectiveness of current Medicaid payment initiatives.
  7. Explore how Medicaid APMS might need to evolve to maximize their impact.
  8. Plus engage in interactive learning through online question submission, attendee feedback and opportunity for follow up questions, and networking with attendees, faculty and other professionals through dedicated LinkedIn group.
Who Should Attend

Interested attendees would include:

  • C-Suite Executives
  • Medicaid Program Executives and Staff
  • Value Based Payment Executives and Staff
  • Healthcare Innovation, Transformation and Reform Executives
  • Medical Directors
  • Provider Network Executives and Staff
  • Legal and Regulatory Executives and Staff
  • Policy Executives and Staff
  • Planning and Strategic Executives and Staff
  • Business Intelligence Executives and Staff
  • Other Interested Parties

Attendees would represent organizations including:

  • Health Plans
  • Hospitals and Health Systems
  • Accountable Care Organizations
  • Provider Networks
  • Medical Groups
  • Other Healthcare Providers
  • Life Sciences Organizations
  • Government
  • Solutions Providers
  • Associations, Institutes and Research Organizations
  • Media
  • Other Interested Organizations
Alternative Payment Models in Medicaid - Deloitte Research: Could MACRA be Catalyst for State Efforts?
  Individual Registration Fee: $195. Post-event materials, with video syncing slides and recorded audio, plus presentation pdf file: $45 for attendees; $260 for non-attendees after the event. Register online or download the event flyer.
Register Now   Click here to register or call 209.577.4888. Corporate Site licensing also available. We look forward to your participation in this event!
Erica Cischke

Erica Cischke
Health Policy Manager
Deloitte Center for Health Solutions

  Erica Cischke is a Health Policy Manager with the Deloitte Center for Health Solutions. Previously, Erica served as a Budget Analyst with the Department of Health and Human Services; a Health Insurance Specialist with the CMS Center for Consumer Information & Insurance Oversight (CCIIO); a Legislative Assistant in the United States Senate, and prior to that in various capacities with the Centers for Medicare & Medicaid Services. Erica has a BA in Political Science and Government from the University of Michigan.

Claire Boozer Cruse

Claire Boozer Cruse, MPH, Health Policy Manager, Deloitte Center for Health Solutions

  Claire is a health policy manager with the Deloitte Center for Health Solutions. She is managing editor of the Health Care Current, a weekly newsletter. Her primary research area is in health care policy, especially as it pertains to Medicare, payment reform, post-acute care, and the individual health insurance market.

She also leads and supports various projects on the Centerís research pipeline. Claire joined the team in 2013 after interning with the Center while she completed her Masterís in Public Health and Health Policy at The George Washington University.

Her prior experience includes working in the private sector for non-profits from the local to national level, as well as two years with a large health care system in the Southeast.
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