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New Mexico Medicaid Primary Care Payment Reform Begins July 1

First few Article Sentences

The New Mexico Primary Care Payment Reform Initiative, a mandatory program led by the New Mexico Health Care Authority, marks a significant shift in the state’s Medicaid approach, as it transitions from a volume-based to a value-based payment model.

This change is geared towards enhancing the efficiency and quality of health care delivery and introduces new payment structures that will reward patient outcomes and cost-effectiveness.

A crucial element of this reform program is the quality measurement framework, designed to ensure high standards of care are maintained by Medicaid providers in the state. This framework includes specific metrics for assessing patient care, focusing on effectiveness, satisfaction, and outcomes.


Green, Georgia

Hartley, Steven

Moss Adams

Provider Reimbursement

February 13, 2024

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