Medicaid Transformation principles:
Be data driven
Data is transforming all areas of healthcare, allowing us to know things we used to guess at. A major goal of Medicaid Transformation is to collect and use more data to eliminate poor and wasteful care, provide care earlier and more. Learn more about the state's investment in data and analytics.
Instead of “re-creating wheels” we are required to choose proven models for each project. For example we use a Chronic Disease management tool from Stanford and a Bi-Directional Integration model known as the “Brees Collaborative”. We are happy to do so and owe a huge debt of gratitude to all the researchers who have worked in this are in the last four decades whether we use their specific research or not.
This is the most obvious and most difficult “step”. It’s obvious because when providers don’t know what other providers are doing it’s a bad thing. Difficult because it’s hard to know where to start and it’s such a hard thing to do. Like suddenly changing our traffic laws so we all drive on the other side of the road.
Some fear that the way we pay providers leads to the wrong care, not just in Medicaid but in all healthcare. Part of Medicaid Transformation is working to pay providers to keep patients healthy. It’s really complicated for the same reason it would be hard to pay teachers based on student test scores – it’s hard to implement without punishing the teachers who work with the most vulnerable children, which would be terrible. Here is more information to the state's approach to paying for value.
Upgrading workforces, educating patients, teaching kids – everything we do to make people more capable, more able to help themselves and others – generates a huge return on investment. Education, especially workforce training, is an important goal of Medicaid Transformation in Washington and it makes sense. All our projects depend on better distribution of information, upgrading our workforce and making high quality health education a priority.