The Impact of Quality Incentive Models in Medicaid Markets

Sponsored by

May 30, 2017

What You'll Hear

Thirty-one of our fifty states now have Medicaid managed care, and several markets are expected to implement managed care in the next few years. More than $160B in Medicaid spending occurs through the Managed Care Organizations. As more and more states seek to do more with less, increasing accountability for health quality outcomes is placed on health plans.

Most managed care states tie performance on key HEDIS measures to capitation incentives or withhold arrangements. Each state model is different in terms of the measures emphasized and the percent of capitation revenues at risk (ranging from 1-5%).

Join this webinar to learn the typical quality payment approaches states use, issues often faced by health plans under each model and what states are expected to do with payment models tied to quality performance in light of near term Medicaid reform efforts.

Speaker
Aerste Howells, Sr. Vice President, Sales - Matrix Medical Network
Clay Farris, Director of Operations - Mostly Medicaid

Top Reasons To Attend

  • Learn key insights about the different pay for quality models used in state Medicaid managed care programs
  • Understanding of how plans are looking to their revenue management organization to implement strategies and solutions
  • Identify emerging trends and upcoming changes to pay-for-quality models in major markets
  • Learn how to maximize the impact of a single in-home visit to address multiple care gaps, capture important risk adjusting diagnoses and enhance the individual care plan
  • Learn about proven solutions to close quality gaps for your enrollees, including case studies on Medicaid chronic care populations
  • Improve key measures related to pediatric health, including Well Child visits and lead screening
  • Improve traditionally challenging diabetic quality scores, through innovative in-home tests
  • Avoid high cost, acute admissions and re-admissions with better treatment and monitoring of multiple chronic conditions
  • Learn about best practices in Medicaid Long Term Services and Supports, including strategies for your dual eligible population
  • Learn about revenue management synergies in Medicare and Medicaid for dual plan members

RISE Members: Register for FREE!*

Who Should Attend

This webinar is designed to specifically benefit those with responsibilities in the following areas:

  • Risk Adjustment and HCC Management
  • Star Ratings and Quality Improvement
  • HEDIS/CAHPS/HOS
  • Member Engagement and Education
  • Product Development and Plan Strategy
  • Government Programs
  • Data Management/Performance Analytics
  • Revenue Management/Financial Performance
  • ROI and Value Assessment
  • Performance Improvement
  • Accountable Care

Get Answers To These Important Questions

  • What are the major quality incentive approach / payment model (withhold percentage) used by states?
  • What measures are important in different markets?
  • How much money does my health plan stand to lose?
  • How can we improve outreach-targeting analytics to increase impact on member outcomes?

*To receive a complimentary seat in this webinar, RISE MEMBERS must register by Tuesday, May 23, 2017.

When & Where

Tuesday, May 30, 2017

Time: 1:30pm Eastern Time
Duration: 1 hour

Conveniently attend the webinar from your office or home!

Register Now: Space is Limited!

For more information and to register, contact Kelly Sniatecki at 704-341-2383 or ksniatecki@risehealth.org Group Discounts Available!

[+] Register Now

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