AHCCCS Payment Modernization Update

1. AHCCCS Payment Modernization Update June 26, 2013 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System

2. Payment Modernization Mission • To leverage the Agency’s managed care model toward value based health care systems where patients’ experience and population health are improved, per-capita health care cost is reduced through aligned incentives with managed care organization and provider partners, and there is a commitment to continuous improvement and learning. 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System

3. Learning Organization • Other States- Arkansas Episodes/McKinsey • Health Plan Discussions • ACO’s- BHN, Arizona Connected Care, Arizona Care Network, Commonwealth Primary Care • Medicare Initiatives-Bundled Payment Pilots, Readmissions, PQRS, e Prescribe, etc. 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System

4. Payment Changes in Progress • ALTCS Pilot • Acute 5% Shared Savings • Episodes of Care Analysis-Increase Transparency, Identify Variation, etc. • E Prescribe- Incentives to Increase Participation 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System

5. Transparency • CMS Initiatives/ Media Reports • Participation in Catalyst for Payment Reform- Focus on Quality & Cost Transparency, Issues State “Report Cards” • Report to the Legislature 1-1-2014 on current Charge Master reporting, Costs vs. Charges, Examples from Other States • Legislation Requiring Provider Transparency 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System

6. Payment Modernization Plan • To be Published by October 1, 2013 • Assessment of Current System • Framework Including Stakeholder Input • 2013 Initiatives • 2014 Strategies 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System