In a new article published in Health Affairs, Rajaie Batniji, MD, PhD and CEO of Waymark and William Shrank, MD and Venture Partner at a16z Bio + Health discuss barriers to adoption of value-based care in Medicaid— including the growth of ‘value veneers,’ or modest pay-for-performance programs, bonuses, and shared savings arrangements that do not meaningfully alter care delivery. They advocate for a value-enabled care model in Medicaid:

“Wraparound services such as community health worker programs that deliver community-based care are a common example of value-enabled care. These services can be delivered by multidisciplinary teams who work in partnership with the PCP to address both health and social-related needs of patients. Care is delivered in the community and enabled by technology that a single provider would be unable to invest in. Here, the wraparound service provider enters into a risk agreement (from shared savings to full capitation) with the payer and enables care delivery transformation for the provider—with no or limited financial risks to them. In this model, care delivery is transformed via an enabler—who could only exist in a value-based arrangement—working in coordination with local providers.”

Read the article here: https://wymrk.co/43WjZEH