Step 1 - Force Medicaid to pay at least the cost of delivering care - this is critically important for Community Health Centers and other providers concentrated in Medicaid patients. Step 2 - Simplify the work environments of delivery team members. Reduce the number of measures and multitasking added over the last 20 years Step 3 - Stack funding toward counties chronically lowest in health care workforce. This is usually about worst paying public and private plans that must be held accountable plus special funding for the practices that have half enough primary care, mental health, and basic workforce. Step 4 - Force states to stop shaping and tolerating the worst paying worst quality health plans Once again too may efforts are wasted on bandwagon terms such as population based or social determinants. MOST AMERICANs are SUFFERING long term chronic basic health access deficits that are shaped by the health care design. Fix the design. Do not punish providers for the sin of caring for populations inherently lower in outcomes and drivers of outcomes. Please stop this performance-based aberration. These practices are already paid less and penalized more - causing more harm to populations already harmed.
Primary care is the backbone of a strong health care system. As such, state Medicaid programs are testing policies to strengthen primary care, including new payment approaches. A new primer from Center for Health Care Strategies explores six key design choices that state #Medicaid programs need to make when developing or refining a population-based payment (PBP) model and the implications of these choices, including impacts on health equity for patients and providers. PBP models seek to move away from volume-based, fee-for-service payments and toward predictable “budgets” that support population health management, flexible service delivery, and financial stability for participating providers and the states implementing these models.
