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Evaluation ViewAttendees 30
State of the Art Plenary

Academic and Research Skills

General Pediatrics

Health Services Research

Leadership and Business Training

School and Community Health
Session Type: State of the Art Plenary

What Is the Evidence Base for Medicaid Payment Policy?

Saturday, May 4, 2024
11:00 AM – 12:30 PM ET
Location: Metro Toronto Convention Centre: 106
CE: Live CME: 1.5

Selected By: PAS Program Committee Leadership Team
Co-sponsored By: APA
Disclosure(s):
ALYNA t. CHIEN, MDMS: I do not have any relevant financial / non-financial relationships with any proprietary interests.
Charlene Wong, MD MSHP: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Session

Description: This State-of-the-Art Plenary opens with the pediatric results from a 20-year systematic review of value-based purchasing. It will then showcase three different approaches to aligning pediatric payments with desired maternal, newborn, and child health outcomes and state of the evidence-base supporting each approach. The first strategy is the community-oriented approach taken by Nationwide Children’s Hospital via its affiliated Medicaid Accountable Care Organization aka Partners for Kids program and its ability to reduce high-cost health care. The second approach involves understanding the cost-effectiveness of integrating community health workers into early childhood preventive care. The final example is the randomized controlled trial that was embedded into South Carolina’s rollout of an intensive nursing home visiting program for pregnant Medicaid beneficiaries.

Learning Objectives:

  • 1. Understand terms and definitions related to value-based purchasing;
  • 2. Appreciate how value-based purchasing can develop from payer- and provider-led payment innovations;
  • 3. Cite how payment experiments can be associated with positive, neutral, and concerning child health outcomes.

Presentations:

  • 11:00 AM – 11:15 AM ET
    Pediatric Value-Based Purchasing: Results from a 20-Year Systematic Review

    Speaker: ALYNA t. CHIEN, MDMS (she/her/hers) – Boston Children's Hospital

  • 11:15 AM – 11:30 AM ET
    What Role Does Value-Based Purchasing Have in Supporting Healthy Neighborhoods?

    Speaker: Deena J. Chisolm, PhD (she/her/hers) – Nationwide Children's Hospital

  • 11:30 AM – 11:45 AM ET
    Integrating Clinic-based Community Health Workers into Early Childhood Preventive Care, Cost Implications for FQHCs

    Speaker: Tumaini R. Coker, MD, MBA (she/her/hers) – University of Washington/Seattle Children's

  • 11:45 AM – 12:00 PM ET
    South Carolina Medicaid's Paying For Success Program: RCT Results

    Speaker: Margaret McConnell, PhD (she/her/hers) – Harvard TH Chan School of Public Health