Posts for Health System Transformation

Four Burning Questions and Tentative Answers About CMS’ Quality Payment Program

It’s here: the final rule for CMS’ Quality Payment Program (QPP/MACRA) has been released! You dug through 900+ pages, added new acronyms to your vocabulary, submitted comments, and, at the end of a long campaign, have another 2400+ pages to...

Consumers: The Indispensable North Star for Medicaid ACOs

Last week, the Center for Consumer Engagement in Health Innovation at Community Catalyst published a report, Consumer Engagement in Medicaid Accountable Care Organizations: A Review of Practices in Six States.

An Opening for Consumers to Get a Seat at the Table on Health System Transformation

Over the last year, I have had the opportunity to serve on behalf of Community Catalyst on the Health Care Transformation Task Force - a consortium of patients, payers, providers and purchasers...

Non-Emergency Medical Transportation: Pathway to Better Health Outcomes

Even with health care coverage, Medicaid beneficiaries still find themselves facing numerous barriers to accessing the care they need and achieving better health outcomes. One barrier that continues to cause serious access problems is transportation.

Massachusetts Advocates Roll Up Their Sleeves to Improve Medicaid Reform

Massachusetts, always a leader in health reform, is on the move again. Last month, the state released a draft plan to shift its Medicaid program, MassHealth, from a fee-for-service model to one that relies on Accountable Care Organizations (ACOs). Under...

Engaged Consumers: The Key to Better Value in the Empire State

Last week, I had the privilege of attending the United Hospital Fund’s 2016 Medicaid Conference in New York City. This year’s conference focused on ongoing efforts in New York’s Medicaid program to develop delivery and payment systems that reward value...

Valuing Health: Building the Field for Consumer-Designed Health Systems

Minnesota is one among a handful of states leading the nation in public and private exploration of health system transformation and consumer advocates have the opportunity to embed consumer engagement and priorities in the “Minnesota Model.”

Purposeful. Effective. Equitable.

I recently attended Health Care for All’s (HCFA) 4th Annual Patient and Family Advisory Council (PFAC) Conference in Massachusetts, which was incredibly informative and inspiring. HCFA was a major force behind the passage of the 2008 law that required all...

Preparing for the Launch of Community HealthChoices in the Three River City

When Pennsylvania launches its Community HealthChoices (CHC) program for older adults and individuals with disabilities over the next few years, it will join a growing number of states shifting to managed care plans to provide long-term services and supports (MLTSS)...
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