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AHCCCS Payment Modernization Update

AHCCCS Payment Modernization Update. June 26, 2013. Payment Modernization Mission.

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AHCCCS Payment Modernization Update

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  1. AHCCCS Payment Modernization Update June 26, 2013 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System

  2. Payment Modernization Mission • To leverage the Agency’s managed care model toward value based health care systems where patients’ experience and population health are improved, per-capita health care cost is reduced through aligned incentives with managed care organization and provider partners, and there is a commitment to continuous improvement and learning. 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System

  3. Learning Organization • Other States- Arkansas Episodes/McKinsey • Health Plan Discussions • ACO’s- BHN, Arizona Connected Care, Arizona Care Network, Commonwealth Primary Care • Medicare Initiatives-Bundled Payment Pilots, Readmissions, PQRS, e Prescribe, etc. 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System

  4. Payment Changes in Progress • ALTCS Pilot • Acute 5% Shared Savings • Episodes of Care Analysis-Increase Transparency, Identify Variation, etc. • E Prescribe- Incentives to Increase Participation 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System

  5. Transparency • CMS Initiatives/ Media Reports • Participation in Catalyst for Payment Reform- Focus on Quality & Cost Transparency, Issues State “Report Cards” • Report to the Legislature 1-1-2014 on current Charge Master reporting, Costs vs. Charges, Examples from Other States • Legislation Requiring Provider Transparency 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System

  6. Payment Modernization Plan • To be Published by October 1, 2013 • Assessment of Current System • Framework Including Stakeholder Input • 2013 Initiatives • 2014 Strategies 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System

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