Today, Medicaid programs face uncertainty around future funding. However, many strategic challenges remain the same as programs grapple with the underlying issues they’ve always faced. Difficult-to-contact members have complex needs and expensive utilization, and providers resist participation in value-based care models—or even Medicaid—altogether.
Tackling these perennial problems will be essential for success in any future environment. Many Medicaid stakeholders are building partnerships to address these common cost, quality, and access issues through complementary strengths.
This research report includes profiles of managed care alliances that target barriers to value-based payment transformation and sources of avoidable ED utilization.
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