Blog Archives

Vermont Bundled Payment Program

B&A is providing technical support to Vermont Medicaid on the design and implementation of a bundled payment program for a set of priority episodes of care.

Hospital and Managed Care Plan Scorecards

B&A is supporting Ohio Medicaid produce hospital and managed care scorecards. The scorecards compile metrics on potentially preventable readmissions (PPRs). The scorecards are released twice a year and include aggregate and provider/plan level extracts. B&A also conducts analysis on performance … Continue reading

Home Health Payment System

BB&A is providing strategic planning services on the design and implementation of a new value-based home health prospective payment system.

Medical Benefit Payment System Management in Vermont Medicaid

B&A supports Vermont Medicaid maintain payment systems for facilities, professionals, laboratories, durable medical equipment providers, ambulance, and non-emergency transportation services. Highlights include transitioning the state to MSDRGs and APCs and continues to support the state in annual updates to policies, … Continue reading

EAPG Implementation in Ohio Medicaid

B&A is supporting the state of Ohio transition to payment of outpatient services using the 3M EAPG grouper. B&A supports Medicaid staff with financial and policy analysis. B&A also engages with stakeholders and partners including the fiscal agent, managed care … Continue reading

Federally Qualified Health Center (FQHC) Payment System

Strategic Planning: B&A is providing strategic planning services on the design and implementation of a new value-based federally qualified health center (FQHC) payment system. Rate Setting: B&A is working with the state of Vermont to design a value-based, prospective payment … Continue reading

Medicaid Shared Saving Program (VMSSP) / Strategic Planning

B&A provided strategic planning services to state staff in support of the design and launch of the Vermont Medicaid Shared Savings ACO Program.

Medicaid Shared Saving Program (VMSSP) / Budget Development and Program Financing

B&A designed the financial reporting materials in support the Vermont Medicaid Shared Savings ACO Program including forecasts of the actual and projected per capita spend.

Medicaid Shared Saving Program (VMSSP) / Program Design and Operations

B&A provided Vermont Medicaid technical support in the design and implementation of the Vermont Medicaid Shared Savings ACO Program.

Medicaid Shared Saving Program (VMSSP) / Data and Analytics

B&A supports monitoring and evaluation efforts in Vermont Medicaid by using claims data to conduct policy analysis and calculate performance metrics.