Managing Costs with Value-Based Payment and Delivery Models

To rein in Medicaid costs, the New York State Department of Health (NYS DOH) decided to try value-based delivery and payment models. PROMETHEUS Analytics were used to create a roadmap for design and implementation, and identify the features most likely to lead to success. To meet aggressive improvement targets, payments are no longer based on services delivered, but on results achieved in system transformation, clinical management and population health – value rather than volume.