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Ohio Becomes Medicaid's First Value-Based Purchaser
Ohio is transforming its Medicaid program by tying payments to quality, value-based outcomes, as the first in the nation to take such a step, the state announced Monday.
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The Office of Ohio Health Plans (Ohio Medicaid) is working with Catalyst for Payment Reform, a large private organization that includes General Electric and Walmart as members, to develop new language for 2013 contracts that ties managed care payment to quality outcomes, reported the Dayton Daily News
Daily News
"Today, we pay the same for care, whether it's good or bad, free of mistakes or full of mistakes," Catalyst for Payment Reform Executive Director Suzanne Delbanco told the . "We want to have a payment system that's more connected to the care that people receive."
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Source: FierceHealthPayer
Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
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