Promoting Value and Reducing Costs in Medicaid Transformation

Area of Science:

• Health Services Research
• Healthcare Policy
• Value-Based Care Models

Background:

• Medicaid transformation success hinges on health plans delivering improved value.
• Achieving the Triple Aim (better health, better care, lower costs) is a key objective.

Purpose of the Study:

• To outline the approach of Blue Cross and Blue Shield of North Carolina and Amerigroup Partnership Plan, LLC in serving the state's Medicaid population.
• To highlight the implementation of value-based care strategies within North Carolina's Medicaid program.

Main Methods:

• Collaborative strategy development between health plans.
• Focus on value-based care principles.
• Serving the specific needs of the Medicaid population in North Carolina.

Main Results:

• Blue Cross and Blue Shield of North Carolina and Amerigroup Partnership Plan, LLC are prioritizing value-based care.
• This approach is central to their strategy for the state's Medicaid beneficiaries.

Conclusions:

• The collaboration between Blue Cross and Blue Shield of North Carolina and Amerigroup Partnership Plan, LLC is foundational for Medicaid transformation.
• A commitment to value-based care is essential for achieving the Triple Aim in North Carolina's Medicaid program.