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States Use Medicaid Pilots to Experiment With New Payment Models

Aug. 14, 2019, 11:00 AM

A nationwide push toward efficiency in spending tax dollars on health care is taking off in some states that are experimenting with different ways to pay for Medicaid. Pilot programs in Oregon, Tennessee, and Missouri pay doctors based on a patient’s health outcome rather than the number of services provided, and that value-based care approach is reaping financial benefits.

Holistic Approach: The availability of so many expensive treatment options means that under the fee-for-service model of insurance coverage, doctors risk overemphasizing tests for specific symptoms rather than focusing on how they care for a whole person.

‘Huge Overhaul’: Oregon designed...

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