5 states to watch: Keep your eye on these payment and care reform experiments

Sarah Kliff spoke at a payment innovation summit in Portland today. She identified five states that we should watch to track experiments with new models of care and reimbursement. You can see her list and the reasons she chose each one in the slides above. Here is the list: Arkansas Maryland Massachusetts Oregon Utah Kliff […]

Sarah Kliff spoke at a payment innovation summit in Portland today. She identified five states that we should watch to track experiments with new models of care and reimbursement. You can see her list and the reasons she chose each one in the slides above. Here is the list:

  • Arkansas
  • Maryland
  • Massachusetts
  • Oregon
  • Utah

Kliff is a senior editor at Vox.com, where she oversees health, medicine and education coverage. She previously wrote for the Washington Post, where she covered health policy and was a founding member of Wonkblog.

Oregon Health and Science University sponsored the conference. The school’s Center for Health Systems Effectiveness has been working to launch and support Coordinated Care Organizations:

… an innovative and substantial restructuring of its Medicaid program, transitioning care into Coordinated Care Organizations (CCOs), regionally-based health care delivery groups comprised of multiple health service organizations. The CCO “experiment” includes an agreement with the Centers for Medicare and Medicaid Services (CMS), in which CMS is providing $1.9 billion to Oregon to assist in its transition. In exchange, Oregon agreed to reduce its rate of spending growth by 2 percentage points without degrading the quality of care. If Oregon does not meet these benchmarks, it will lose hundreds of millions of dollars in payments from the federal government. Oregon is thus the first state to explicitly tackle the health care cost challenge with a global budget that specifically caps the rate of growth for its Medicaid program.

CHSE has received NIH, foundation, and philanthropic funding to identify the impact of the CCO transformation on cost and quality, to identify what works within the Oregon experiment, and to disseminate these findings locally and nationally.

The CCOs are one reason that Oregon made Kliff’s list of 5 states to watch.