As a member of the Iowa Hospital Association (IHA) – and with our CEO Marty Guthmiller becoming the Chair of the IHA Board beginning October 10, 2018 – Orange City Area Health System would like to provide some background and context for a new IHA proposal for replacing the current Medicaid structure.
The videos (linked at the right) depict some of the current facts and challenges under Iowa’s current Medicaid Managed Care environment. They should be viewed within the context of the information provided below from the IHA:
The Third Way: a path forward for managing Medicaid in Iowa Roadmap for Value-Based Payment
In April 2016, the State of Iowa implemented commercial managed care for nearly all Iowans receiving Medicaid. To move toward a sustainable financial model for Medicaid and ensure high quality, efficient, and accessible care for Iowas, the Iowa Hospital Association (IHA) has proposed pivoting the State’s Medicaid program to a value-driven delivery system that:
- Establishes data-informed care management at the site of care,
- Eliminates administrative redundancy,
- Promotes transparency and accountability, and
- Moves the State to payment arrangements that reward population health improvement and program efficiency.