America’s Essential Hospitals joined a coalition of health care organizations to express concerns about value-based care provisions in the Medicaid state directed payments rule in a July 21 letter to the Centers for Medicare & Medicaid Services (CMS). The coalition includes 24 organizations committed to aligning Medicaid payment policies with value for patients.
The letter discusses how the proposed rule’s overly prescriptive application of Medicare-based limits will interfere with state efforts to advance value-based payment models that are tailored to Medicaid beneficiaries’ unique needs. We ask CMS to preserve state and managed care organization flexibility, align Medicare-based payment limits with the process used in Medicaid fee-for-service, and refrain from limiting services not required by statute.
The following organizations have signed onto this letter:
- Alliance of Community Health Plans
- American Academy of Family Physicians
- American Medical Group Association
- American Nurses Association
- America’s Essential Hospitals
- America’s Physician Groups
- Association for Clinicians for the Underserved
- Association for Community Affiliated Plans
- Association of American Medical Colleges
- Catholic Health Association
- Children’s Hospital Association
- First Focus on Children
- Health Care Transformation Task Force
- Leading Age
- Medicaid Group Management Association
- National Association for Behavioral Health
- National Association of Community Health Centers
- National Association of Pediatric Nurse Practitioners
- National Council for Mental Wellbeing
- National Healthcare for the Homeless Council
- National Rural Health Association
- Primary Care Collaborative
- Society of General Internal Medicine
- Vizient, Inc.
Contact Director of Policy Rob Nelb, MPH, at rnelb@essentialhospitals.org or 202.585.0127 with questions.
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