The impending cuts to Medicaid funding will pull at the fabric of US communities, health systems, and payers. But strategic collaboration could help mend—or even prevent—some of the anticipated tears.
Health plans that implement VBC programs with clarity and operate with a P&L mindset will drive sustainable profitability—extracting value for members, providers, and their organization.
States are quickly adapting to Medicaid reforms. We highlight notable state-level policy changes and offer strategies for managed care organization (MCO) operational and financial sustainability.