Transforming health care through Medicaid waiver based incentive programs: Case studies from Massachusetts, California, and Texas
To better understand the journey and results of these three states, we conducted a webinar series which hosted clinical and non-clinical providers from Boston Medical Center in Massachusetts, Santa Clara Valley Medical Center in California, and UT Northeast in Texas. Each speaker was provided a list of questions to guide their presentation which covered various aspects of their experience with the waiver based incentive programs. The webinar presentations were recorded, transcribed, and qualitatively analyzed to inform a published research brief.
Providers expressed the waiver based incentive programs jumpstarted transformation projects they were not otherwise able to implement. Navigating cultural changes and extensive data reporting were common challenges amongst the sites. However, strong leadership buy-in and cross-department collaboration ultimately accelerated success. Most importantly, providers have seen vast spillover effects from the transformation projects which have driven quality improvement efforts upstream to impact larger population health efforts.
Learning Areas:Provision of health care to the public
Public health or related organizational policy, standards, or other guidelines
Discuss the general features of Section 1115 Medicaid waiver incentive programs. Explain the distinctive features of Medicaid waiver incentive programs in Massachusetts, California, and Texas. Describe how Medicaid waiver incentive programs have yielded system-wide transformation and spillover effects on health improvement at essential hospitals.
Keyword(s): Medicaid, Health Systems Transformation
Qualified on the content I am responsible for because: I have supported and developed a hospital-based Learning Collaborative in Massachusetts as part of the state's Section 1115 Medicaid waiver incentive program. Additionally, my research has focused on the impacts of Medicaid waivers and health policy initiatives in safety net health systems.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.