External Barriers to Adoption and Innovation of VBP and APMs by Medicaid MCOs

  1. provider readiness and willingness: 91%
  2. health plan-provider data sharing capabilities: 83%
  3. provider staffing shortages: 74%
  4. Medicaid payment rates: 52%
  5. Variation in payment models across payers (e.g.
  6. Medicaid
  7. commercial
  8. Medicare): 48%
Notes: VBP: Value-based Payment; APMs: Alternate Payment Methods; MCOs: Managed Care Organizations.

Source: 2023 Annual Medicaid MCO Survey, Institute for Medicaid Innovation (IMI) via Healthcare Innovation, November 20, 2023. - https://www.hcinnovationgroup.com/policy-value-based-care/medicare-medicaid/art…