A Deloitte review of 45 Medicaid value-based programs shows that they have yet to demonstrate that they save money and improve outcomes. The 45 models are spread across 28 states. Researchers looked at four models: bundled payments, ACOs, patient-centered medical homes, and the Medicaid home health program.
The initiatives are fairly new, researchers note, so there may not have been enough time to fully measure their effects. “The cost and complexity of conducting formal evaluations also may be a limiting factor,” the researchers write.
They also note: “The potential impact of Medicaid alternative payment models on care delivery can depend considerably on how much of a provider's revenue comes from Medicaid.”