Are you ready for New York State Medicaid value-based payment models?

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By Brett Friedman, Rebecca L. Johnson, Howard Kahn | 08 November 2018
To ensure the long-term sustainability of its Medicaid program, New York State has launched an ambitious payment reform plan promoting use of value-based payment (VBP) models. This paper provides a high-level overview of the New York State VBP models, discusses the opportunities and challenges for providers considering participation in them, and highlights the needs for sophisticated actuarial, financial, and legal expertise to address the inherent business, legal, and operational risks.