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September 26, 2015 12:00 AM

Providers express concerns over Washington Medicaid waiver

Virgil Dickson
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    Some providers say a proposal to transform Washington state's Medicaid program doesn't take into account the needs of children.

    The state is seeking $3 billion in federal funds to overhaul its Medicaid program in a five-year pilot project. It seeks to have its managed Medicaid plans oversee both mental and physical health services, as the two are now largely addressed separately.

    The state also wants to change the way it pays for care. By 2019, it aims for 80% of its Medicaid care to be purchased through value-based payment. It also wants to launch a Delivery System Reform Incentive Payment program, which allows federal Medicaid funding to finance incentives for providers to pursue delivery-system reforms.

    Providers say the waiver proposal doesn't outline how exactly it will reach all of its goals. Others expressed concern that the waiver appears to have no initiatives that explicitly target children, who make up 45% of the state's Medicaid program.

    “Given it's such a large population of Medicaid that's already facing significant gaps in care, this waiver could pose a significant opportunity to change things,” said Dr. Mike Dudas, president of the Washington chapter of the American Academy of Pediatrics.

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        • Top 25 Emerging Leaders
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        • Diversity in Healthcare
          • - Luminaries
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          • - Leaders to Watch
        • Women in Healthcare
          • - Luminaries
          • - Top 25 Women Leaders
          • - Women to Watch
      • Conferences
        • Digital Health Transformation Summit
        • ESG: The Implementation Imperative Summit
        • Leadership Symposium
        • Social Determinants of Health Symposium
        • Women Leaders in Healthcare Conference
      • Galas
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        • Health Care Hall of Fame Gala
        • Top 25 Diversity Leaders Gala
        • Top 25 Women Leaders Gala
      • Virtual Briefings
        • - Hospital of the Future
        • - Value Based Care
        • - Hospital at Home
        • - Workplace of the Future
        • - AI and Digital Health
        • - Future of Staffing
        • - Hospital of the Future (Fall)
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