Medicaid Value-Based Payment Proposal Stops Short Of ‘Portability’ Solutions

20 Jul 2020

US Congress may need to weigh in on how installment payments would be handled if patients switch from Medicaid to commercial insurance or from one state Medicaid plan to another, congressional staffer suggests.

We have moved, changed address navigation, flat illustration vector — Systems Needed For Tracking Patients Across Insurers

The recent Medicaid proposed rule that would change rules around "best price" to facilitate value based contracting in the commercial market fails to address how installment payments would be handled if patients move in and out of Medicaid programs, Senate Finance Committee health care advisor Stuart Portman pointed out during a recent webinar sponsored by the Institute for Gene Therapies.

“There are certain things that Congress would need to align with this rule should it be finalized … and the...