What You Should Know:
– AVIA announces that Centene Corporation has become the first payer to join the Medicaid Transformation Project (MTP), which aims to transform healthcare and related social needs for vulnerable populations through digitally-enabled care models and new technology solutions
– Led by AVIA and former CMS chief Andy Slavitt. Collaboration among Centene, 30 health systems, and provider-sponsored health plans in MTP will enable these stakeholders to improve outcomes and reduce costs for at-risk groups in their communities with greater speed than if they embarked on this ambitious endeavor alone.
AVIA announced that Centene Corporation, the largest Medicaid managed care organization in the country, is the newest Member and first independent health plan to join AVIA’s Medicaid Transformation Project (MTP). Led by AVIA and Andy Slavitt, former Acting Administrator of the Centers for Medicare & Medicaid Services, MTP works to advance the health of vulnerable communities while reducing the total cost of care.
Medicaid Transformation Project Overview
The goal of MTP is to actualize digital transformation that will positively impact physical, mental, and behavioral health for vulnerable populations, including the 75 million Americans who rely on Medicaid. . Launched in 2018, MTP has initiated more than 150 projects across over 30 health systems and provider-sponsored health plans to transform emergency room utilization, behavioral health, substance use disorder, and maternal and infant health in vulnerable populations.
Why It Matters
Centene joins a group of provider-sponsored health plans already participating in MTP. The addition of Centene to MTP demonstrates the value of bringing payers and providers together around a shared framework to care for vulnerable populations with digital strategies and solutions
This payer-provider partnership allows MTP Members to holistically transform delivery systems, and no longer operate in silos that commonly separate these two groups and stall transformation. By working together, Centene, MTP providers and provider-sponsored health plans can leverage their common interests to align on mutually beneficial opportunities that further the health of communities they serve.
This news comes on the heels of MTP’s Phase One Report, which details the more than 150 provider-led initiatives launched since MTP’s inception in 2018, focused around ED utilization, behavioral health, maternal and infant health, and substance use disorders.
“We have been enthusiastic in our discussions with Centene about their approach to the future of serving vulnerable communities as we collectively try to shore up our nation’s infrastructure in these important communities,” said AVIA General Manager David Smith. “Centene’s leadership in this effort will provide highly unique opportunities to foster collaboration to advance and extend the critical work our provider partners do for the less fortunate across the country.”