Alternative Medicaid payment model reduces potentially low-value care strategies

Written by Celeste Brady, Commissioning Editor

An alternative Medicaid payment model, involving paying healthcare providers per patient rather than traditional per-visit reimbursements, is associated with decreased use of certain imaging services, potentially freeing up resources to better help patients. Published in Health Affairs, researchers from Oregon Health and Science University (OR, USA) have examined Medicaid data from 150,000 recipients between January 2010 and June 2017. The researchers compared providers in Oregon using the traditional per-visit payment system with community health centers that used an alternative payment model, providing reimbursement to healthcare providers with a fixed monthly fee based on the number of patients the center serves....

To view the full article, please register now for access

It's completely free