Supporting the transformation of Montana’s health care payment and delivery system by implementing value-based care which will improve health outcomes and contain costs.
“Value-based care” is a term that refers to changes in the delivery and reimbursement of health services that are intended improve patient outcomes and contain healthcare expenditures. Federal and private payers are gradually moving toward value-based payment. Medicare, for example, intends to link 50% of fee-for-service payments to quality or value by 2018. Montana has experimented with several value-based models, such as the patient-centered medical home initiative and the Medicaid Health Improvement Program; and, most significantly, in 2016 Montana was accepted as a participant in a multi-payer, value-based federal initiative called CPC+.
On the health care delivery side, we have provided grants to support projects that aim to improve outcomes and contain costs, including integrated behavioral health implementation, programs to improve health outcomes among “high utilizers” of emergency and inpatient care, and other innovative pilot approaches.
We are continuing to build on these early efforts. While integrated behavioral health is the core of our work on value-based care delivery, Partnerships for Better Health competitive Call for Proposals grants will also continue to support innovative delivery system pilot projects as well. In addition, we will begin evaluating what has worked well from among the value-based pilot projects we have supported and considering ways to support replication of any successful strategies.