Office of Health Transformation Continues Work on Value-Based Payment Models

The Governor’s Office of Health Transformation (OHT) recently hosted two webinars to update healthcare providers on Ohio’s progress to financially reward practices that improve health outcomes while keeping the total cost of care down.

The first webinar focused on the Comprehensive Primary Care Payment Model. On June 8, Ohio Medicaid and the state's four largest commercial health insurance plans applied to the federal government to designate Ohio as a statewide comprehensive primary care (CPC) region. If selected, Medicare, Medicaid and the commercial plans agree to provide enhanced reimbursement for advanced primary care beginning in January 2017. Click here to view the presentation or click here to view the webinar.

The other webinar focused on the Episode-Based Payment Model. OHT reported that Ohio Medicaid is currently sending performance reports to specialists who are primarily responsible for 13 high-cost episodes of care (commercial plans are using similar reports), and OHT announced plans to design an additional 30 episodes in 2016. The information in the performance reports will be converted into referral reports for primary care practices to assist them in connecting their patients to high-value specialists. Click here to view the presentation or click here to view the webinar. And, if clinicians wish to participate in the additional episode-based design process, they can click on this link. OHT is looking for providers with expertise in Neonatal, HIV, ADHD and ODD.

The Pollen Line is now closed. See you in the spring!

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