1. How Colorado, Minnesota, and Vermont are reforming care delivery and payment to improve health and lower costs.
- Author
-
Silow-Carroll S, Edwards JN, and Rodin D
- Subjects
- Accountable Care Organizations economics, Accountable Care Organizations legislation & jurisprudence, Colorado, Delivery of Health Care statistics & numerical data, Diffusion of Innovation, Disease Management, Federal Government, Humans, Medicaid, Minnesota, Models, Organizational, Outcome Assessment, Health Care, Preventive Medicine economics, Preventive Medicine legislation & jurisprudence, Reimbursement, Incentive economics, Reimbursement, Incentive legislation & jurisprudence, State Government, United States, Vermont, Cost Control economics, Cost Control legislation & jurisprudence, Health Care Reform economics, Health Care Reform legislation & jurisprudence, Quality Assurance, Health Care economics, Quality Assurance, Health Care legislation & jurisprudence
- Abstract
Colorado, Minnesota, and Vermont are pioneering innovative health care payment and delivery system reforms. While the states are pursuing different models, all three are working to align incentives between health care payers and providers to better coordinate care, enhance prevention and disease management, reduce avoidable utilization and total costs, and improve health outcomes. Colorado and Minnesota are implementing accountable care models for Medicaid beneficiaries, while Vermont is pursuing multipayer approaches and moving toward a unified health care budget. This synthesis describes the common drivers of reform across the states, lessons learned, and opportunities for federal administrators to help shape, support, and promote expansion of promising state initiatives. It also synthesizes strategies and lessons for other states considering payment and delivery reforms. The accompanying case studies describe the states' efforts in greater detail.
- Published
- 2013