The Politics of U.S. Healthcare – A Path Forward for Medicaid and Bundled Payments

Thursday, September 28, 2017
2:00 pm Eastern Time

With wholesale repeal and replacement of the Affordable Care Act stalled for the time being, states have little recourse but to focus on their own waiver programs as avenues for reforms. The political standoff in Washington may have avoided, or postponed, massive cuts to state Medicaid programs, but U.S. House and Senate bills eviscerating the program are also giving state policymakers pause when making their own waiver changes. At the same time, the U.S. Department of Human Services is pushing to streamline and shorten the Medicaid waiver process.

Meanwhile, a recent proposal from HHS to cancel the Episode Payment Model and roll back the Comprehensive Care for Joint Replacement program has also cast doubt on the Trump administration’s attitude toward value-based care models. Voluntary bundled payment models, either created by CMS or submitted through the Physician-Focused Payment Model Technical Advisory Committee, will replace mandatory demonstrations produced during the Obama administration. While the current shifts at the federal level, large employers in the commercial sector will continue to drive interest in direct contracts with integrated delivery networks and independent specialists for procedure-focused bundled payments.

This webinar will explore:

  • What is the status of Medicaid managed care in the current political climate?
  • What is the outlook for further changes to the Medicaid program at the federal level?
  • How are states responding to uncertainty from Washington when it comes to implementing their own waiver programs?
  • How could future voluntary bundled payments resemble existing programs in Medicare, and how could they differ?
  • How can bundled payments offer providers a competitive advantage in a market?