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Payment Innovation

The Ohio Department of Medicaid has joined the Governor’s Office of Health Transformation to engage public and private sector partners in designing a new health care delivery payment system that rewards the value of services – not the volume.

The Ohio Department Medicaid is working closely with payer partners, including all Medicaid managed care plans (MCPs: Buckeye Health Plan, CareSource, Molina Healthcare, Paramount Health Care, and UnitedHealthcare) and four commercial payers (Aetna, Anthem, Medical Mutual of Ohio, and UnitedHealthCare

Ohio’s State Innovation Model (SIM) grant proposal centers on testing payment models that increase access to comprehensive primary care and support retrospective episode-based payments for acute medical events.

Learn more about these initiatives:
Governor's Office of Health Transformation
Comprehensive Primary Care
Episode-based payments