Institute for Medicaid Innovation: Most Common Operational Barriers in VBP/APMs, as Reported by Medicaid MCOs in 2019

1. Data reporting to providers: 86% of Medicaid Managed Care Organizations (MCOs)
2. IT system preparedness: 71% of Medicaid MCOs
3. Support to providers to make determinations on VBP/APM: 71% of Medicaid MCOs
4. Tracking quality and reporting within new structure: 71% of Medicaid MCOs
5. Contract requirements on VBP/APM approaches: 50% of Medicaid MCOs
6. Pricing VBP/APM: 43% of Medicaid MCOs
7. Other (e.g., development of an online, secure document exchange portal, delivery model readiness): 14% of Medicaid MCOs
8. None: 7% of Medicaid MCOs

Notes: MCOs are Managed Care Organizations; VBP is value-based payment; APMs are alternative payment arrangements.
Source: "Medicaid Access & Coverage in 2019," Institute for Medicaid Innovation, December 2020
Source URL: https://www.medicaidinnovation.org/_images/content/2020-IMI-...

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