Value-Based Purchasing: Integrated Care Models in Fee-for-Service Delivery Systems
The Value-Based Purchasing: Integrated Care Models in Fee-for-Service Delivery Systems MAC Collaborative worked with states on strategies for improving care and lowering costs in non-risk based arrangements (e.g., fee-for-service or primary care case management (PCCM) models). State participants partnered with CMS to explore new options for: (a) payment policies; (b) integrated care models; (c) quality measurement; and (d) beneficiary protections. Collaborative activities began in February 2012 and concluded in October 2012.
Participating States
• Arkansas
• Colorado
• Connecticut
• Illinois
• Maine
• Minnesota
• Missouri
• Oklahoma
Facilitators and Subject Matter Experts
Lead Facilitators
• Dianne Hasselman, Director of Quality and Equality, Center for Health Care Strategies
• Tricia McGinnis, Director of Delivery System Reform, Center for Health Care Strategies
Lead Subject Matter Experts
• Carol Backstrom, (formerly) Senior Policy Advisor, Center for Medicaid and CHIP Services, Centers for Medicare & Medicaid Services
• Stephen Cha, MD, Chief Medical Officer, 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
• Diane Heffron, Director, Financial Management Group, Center for Medicaid and CHIP Services, Centers for Medicare & Medicaid Services
• Michelle Mills, Technical Director, Payment & Delivery System Reform Initiatives