The Value-Based Purchasing: Managed Care Innovations MAC Collaborative is working with state participants to design the next generation of contracting requirements for managed care organizations. Collaborative activities are helping states to become more sophisticated purchasers of care by sharing strategies and identifying barriers and challenges to effective purchasing. The collaborative is exploring: (1) innovative state contracting strategies; (2) alignment of Medicaid managed care with new integrated care models (accountable care organizations, health homes, and patient-centered medical homes); (3) and value-based purchasing trends in the private sector. Participants will also address integration of complex populations into risk-based managed care, including individuals using long-term supports and services and behavioral health services, as well as federal and state program integrity and oversight of Medicaid managed care programs.   Collaborative activities began in October 2012.

Participating States

• Hawaii
• Maryland
• New Jersey
• New Mexico
• New York
• Oregon
• Rhode Island
• Tennessee
• Virginia
• Washington

Facilitators and Subject Matter Experts

Lead Facilitator

• Dianne Hasselman, Director of Quality and Equality, Center for Health Care Strategies

Lead Subject Matter Experts

• Camille Dobson, Senior Policy Advisor, Disabled & Elderly Health Programs Group, Center for Medicaid and CHIP Services, Centers for Medicare & Medicaid Services
• Barbara Edwards, Director, Disabled & Elderly Health Programs Group, Center for Medicaid and CHIP Services, Centers for Medicare & Medicaid Services
• Michelle Mills, Technical Director, Disabled & Elderly Health Programs Group, Division of Integrated Health Systems, Center for Medicaid and CHIP Services, Centers for Medicare & Medicaid Services