Deloitte Report for Texas
As market pressures continue to mount, states are not only looking to derive more value from their managed care programs but also seeking to use these programs to address CMS’ Triple Aim: better health, better quality, and lower cost. In doing so, more states are seeking alternative methods to reduce costs while maintaining and/or improving quality. To gain an understanding of current payment reform programs around the country, the State of Texas asked Deloitte to conduct interviews with Medicaid managed care personnel from eight states to understand the nuances of their experiences rolling out payment reform programs. This report focuses on analyzing payment reform and value based purchasing initiatives in Texas and other targeted states, as well as performance measures needed to design and test alternative payment models.
There are a number of approaches the surveyed states have implemented or are considering:
- Pay-for-performance Models,
- Capitation Withholds,
- Competitive Bidding,
- Enrollment Processes,
- Publishing Performance Data, and
- Supplemental Programming.
See document for full report.
State of Texas Medicaid Payment Reform – Market Assessment and Recommendation Analysis.