The value-based payment wave is starting to enter Medicaid policy, and one early-adopter state has posted quite positive early financial returns but still faces regulatory, technology and financial hurdles.
If the ACA's goal of insuring every American is to be realized, states like Texas and Florida will have to expand Medicaid, Congress will have to amend the law, or states and HHS will have to craft waivers.
Coding took twice as long for the ICD-10 frontrunner and it was proving inaccurate during the first phase, despite putting their best coders on the project. Both improved in phase 2. Here's what they learned.
By bringing behavioral health into the statewide HIE, expanding medical home model practices, and tracking the results, Maine health stakeholders are eyeing an iterative, locally-designed approach to reform.