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Align Public-Private Payment Innovation

What is the plan for aligning public-private payment innovation in Ohio?

Transforming payment for a healthier Ohio:  Proposed payment and service delivery models

The state has set a goal to have 80-90 percent of Ohio’s population in some value-based payment model (combination of episodes- and population-based payment) within five years. In addition to the Ohio-based, multi-payer coalition that is already committed to testing these models, Ohio also proposes that Medicare support this effort, at least by producing total cost-of-care reports for providers and ideally by fully adopting the patient-centered medical home (PCMH) and episode-based payment models in the testing phase of implementation.

By pursuing PCMH and episode-based payment in tandem, the state aims to create increased accountability across the entire care delivery system. PCMH is an approach to increase coordination of care and drive long-term impact through a focus on prevention and chronic disease management. It also serves as a critical leader for the integration of primary care and public health and connection to community-based health and social services. Episodes, nested within the total cost of care accountability of the PCMH program, extends incentives to specialists and hospitals who

Source:  Ohio’s State Health Care Innovation Plan, October 30, 2013

What is the purpose of our regional activity in 2014?

Increase awareness of Ohio’s 5-year Innovation Plan and catalyze organizational commitments to align payment innovation in collaboration with public-private partners.