Michael Motley, MPH
Arkansas Blue Cross and Blue Shield
The Arkansas State and Public School Employees Health Plan
Arkansas is recognized nationally as a leader in value-based healthcare payment innovation. In 2012 the state launched an episodic payment model and was also selected for the original Comprehensive Primary Care initiative (CPC). Arkansas’s efforts were reinforced in 2013, when the state was one of only six regions selected for a State Innovation Model (SIM) award by the Centers for Medicare and Medicaid Services (CMS). The state began a statewide Patient-Centered Medical Home (PCMH) program in 2014. Public and private multi-payer participation and collaboration are hallmarks of each of these components.
In 2016 Arkansas was one of 14 regions selected through a competitive process to participate in Comprehensive Primary Care Plus (CPC+), a five-year, multi-payer initiative designed to strengthen primary care delivery, promote better health outcomes, and control overall health care costs. Launched by the Centers for Medicare and Medicaid Services (CMS) and supported by Arkansas’s largest public and private payers, CPC+ represents an overall shift to incentivize higher quality care through value-based alternative payment models (APM). The original CPC program from 2012 through 2016 brought an estimated $50 million to the state to support 69 practices; CPC+ will also bring significant financing into the state to support care management in participating practices.