A new report issued jointly by United Hospital Fund (UHF) and the Schuyler Center for Analysis and Advocacy presents potential value-based payment models for children’s health services under New York Medicaid. Supported by a UHF grant to the Schuyler Center, and written by national payment experts at Bailit Health, the report describes two models that would foster and support screening for psychosocial risks factors such as trauma and maternal depression, integration of behavioral health services in primary care, and coordination between pediatric practices and community-based agencies addressing social determinants of health.
New York plans to have the great majority of its Medicaid managed care payment be value-based, rather than fee-for-service, by 2020. This shift is underway for adult Medicaid recipients; setting it up for children is crucial but involves a number of challenges related to children’s smaller average medical expense, the greater and longer-term impact on healthy development of social and environmental factors, and other issues unique to child health. Value-Based Payment Models for Medicaid Child Health Services is available at the link below.
Contact: Bob de Luna