Explains how reference pricing programs, when implemented in consumer-friendly ways, can minimize price variation and encourage consumers to shop for care based on price and quality.
Although the Affordable Care Act now offers individuals greatly expanded access to health coverage, simply having an insurance card does not guarantee access to high-quality health care.
Explains value-based insurance design and high-value care, outlines the key elements that value-based insurance should include.
Lays out options for states determining benefit packages (called Alternative Benefit Plans) for those who are newly eligible for Medicaid, including key factors states should consider when designing these benefits.
Explains how accountable care organizations give financial incentives to health care providers to work as a team to deliver high-quality care;discusses challenges states face when implementing ACOs in Medicaid.
Learn how patients and health care providers can team up to ensure better health care for consumers at a lower cost and in a timely manner.
Learn how the Affordable Care Act creates opportunities for states to design and test new models of health care delivery, which can lead to better health and reduced spending.
Find out how to get involved in developing Medicaid health homes, one of the ways states can get funding from the Affordable Care Act to provide coordinated, patient-centered care.
Explores how wellness programs can encourage people to adopt healthy behaviors, provides examples of model programs, and includes a checklist for designing consumer-friendly wellness programs.
Lays out the basics of how managed long-term care in Medicaid works; highlights key questions for advocates to ask when evaluating how managed care will affect consumers.