Ohio Advances Value-Based Payment Models

Last week the Governor’s Office of Health Transformation (OHT) hosted two webinars to update physicians and other health care providers on Ohio’s progress to financially reward practices that improve health outcomes while holding down the total cost of care. The webinars were focused on the Comprehensive Primary Care Payment Model and Ohio Medicaid’s Episode-Based Payment Model.

  • 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 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. For more information, view the presentation slides and watch the archived webinar.
  • Episode-Based Payment Model. In addition, the OHT reported that Ohio Medicaid currently is sending performance reports to the specialists primarily responsible for 13 high-cost episodes of care (commercial plans are using similar reports), and 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. For more information, view the presentation slides and watch the archived webinar.

Questions regarding the presentations can be directed the OHT by contacting Theresa Hatton or by calling 614.752.2784.



Disclaimer: The views and opinions expressed in comments published in Weekly Family Medicine Update (WFMU) are those of the writers alone. They do not represent the views or opinions of Ohio Academy of Family Physicians (OAFP) or its staff. Comments are automatically posted live; however, OAFP reserves the right to take down comments at any time.

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