Healthcare News
Articles, Jobs and Consultants for the Healthcare Professional
Home      View Jobs     Post Jobs     Library     Advertise     Plan Financials     About     Subscribe     Contact    

From Policy to Practice-Increase Medicaid Impact Through State Directed Payments

First few Article Sentences

State Directed Payments (SDPs) have emerged as an important mechanism to channel additional funding to health care providers who take care of Medicaid beneficiaries. Unlike traditional fee-for-service models, directed payments empower states to partner with managed care organizations (MCOs) and providers, aligning financial incentives with specific outcomes such as improved patient care, reduced disparities, and enhanced system efficiency.

While SDPs are a powerful tool to help states meet the unique needs of their Medicaid populations, they also present challenges. These include navigating complex regulatory requirements, ensuring transparency in fund allocation, and accurately measuring outcomes to validate their impact. Additionally, the administrative burden on providers and MCOs can be significant, as compliance with federal guidelines and reporting standards requires robust systems and resources.


Riter, Richard

Mori, Mandy

Moss Adams

Medicaid State Directed Payments

April 1, 2025

back to library