Publications

In addition to directly assisting clients to solve business problems, Bailit Health staff conduct research and author publications to assist the broader community of health care purchasers. A sample of published articles and reports is available below.


Recent and Featured

Integrating Health Care and Social Services: Moving from Concept to Practice
Margaret Trinity, Mary Beth Dyer and Michael Bailit
Robert Wood Johnson Foundation – December 5, 2016
Value–Based Payment Models for Medicaid Child Health Services
Michael Bailit and Marge Houy
United Hospital Fund – July 12, 2016
The Role of State Medicaid Programs in Improving the Value of the Health Care System
Megan Burns, Beth Waldman and Erin Taylor
National Association of Medicaid Directors – March 24, 2016
Integrating Public Health and Health Care: Getting Beyond the Theory – State Health Reform Assistance Network

Erin Taylor, Michael Bailit, Mary Beth Dyer and Karen Hacker
Robert Wood Johnson Foundation - March 22, 2016

Implementing State Payment Reform Strategies at Federally Qualified Health Centers (FQHCs)

Beth Waldman, Mary Beth Dyer and James Waldinger
Robert Wood Johnson Foundation - Dec. 15, 2015

Making Health Care Affordable Grant Program Final Evaluation

Marge Houy and Kate Bazinsky
Blue Cross Blue Shield of Massachusetts Foundation - Aug. 17, 2015


2015 Articles & Publications

A Study of Safety-Net Providers Functioning as Accountable Care Organizations (ACOs)

Michael Bailit and Beth Waldman
Medicaid and CHIP Payment and Access Commission (MACPAC) – July 28, 2015

Implementing Value-Based Physician Compensation: Advice from Early Adopters

Michael Bailit, Megan Burns and Mary Beth Dyer
Healthcare Financial Management - July 1, 2015

Nature And Nurture: What´s Behind the Variation In Recent Medical Home Evaluations?
Mark Friedberg, Connie Sixta and Michael Bailit
Health Affairs Blog - June 22, 2015

Barriers to Behavioral and Physical Health Integration in Massachusetts

Margaret Houy and Michael Bailit
Blue Cross Blue Shield Massachusetts Foundation - June 12, 2015

The ACO Conundrum: Safety-Net Hospitals in the Era of Accountable Care
Michael Bailit, Rachel Tobey, Jim Maxwell, Clancey Bateman
Robert Wood Johnson Foundation - May 4, 2015

Alternative Payment Models and the Case of Safety Net Providers in Massachusetts

Megan Burns and Michael Bailit
Blue Cross Blue Shield of Massachusetts Foundation - March 18, 2015

Three Emerging Challenges for Sustained Payment and Delivery System Reform

Michael Bailit, Margaret Houy, and Beth Waldman
Robert Wood Johnson Foundation - March 12, 2015

What Funders Can Do to Advance Payment Reform

Andrea Ducas and Michael Bailit
Health Affairs: Grant Watch Blog - February 18, 2015

Approaches to the Integration of Services for Individuals with Intellectual and Other Developmental Disabilities

Brendan Hogan, Kate Bazinsky and Beth Waldman
Robert Wood Johnson Foundation - January 5, 2015


2014 Articles & Publications

Considerations for State Development of Performance Measure Sets

Beth Waldman and Michael Bailit
Robert Wood Johnson Foundation - September 17, 2014

Early Observations Show Safety Net ACOs Hold Promise to Achieve the Triple Aim and Promote Health Equity

James Maxwell, Michael Bailit, Rachel Tobey, and Christine Barron
Health Affairs Blog - September 16, 2014

Four Innovative Strategies to Help Providers Succeed Under Payment Reform

Michael Bailit and Marge Houy
Robert Wood Johnson Foundation - August 1, 2014

Key Payer & Provider Operational Steps to Successfully Implement Bundled Payments

Michael Bailit and Marge Houy
Health Care Incentives Improvement Institute - May 28, 2014

Reducing Overuse & Misuse: State Strategies to Improve Quality & Cost of Health Care

Megan Burns, Mary Beth Dyer and Michael Bailit
Robert Wood Johnson Foundation - January 17, 2014


2013 Articles & Publications

A Burning Platform & Trust: Key Ingredients for Payment Reform
Michael Bailit
Robert Wood Johnson Foundation – December 15, 2013

Facing the Future: Developing Guidelines for Coordinating Practice-Based & Plan-Based Care Management Resources
M.Houy, C.Johnson and J.Carlevale
Society of Teachers of Family Medicine Resource Library – November 20, 2013

5 Best Practices for a Successful Transition to Value–Based Payments

Interview with Michael Bailit
Becker´s Hospital Review – October 11, 2013

Provider Network Development and Management and Delivery System Transformation in State Medicaid Programs
Beth Waldman and Michael Bailit
NGA Medicaid Health Care Purchasing Compendium – Sept 28, 2013

Facilitators and Barriers to Payment Reform: Market-based, governmental, organizational, and design considerations
Michael Bailit and Megan Burns
Robert Wood Johnson Foundation - Sept 26, 2013

The Significant Lack of Alignment Across State and Regional Health Measure Sets
Kate Bazinsky and Michael Bailit
Buying Value – September 10, 2013

All Together Now – Coordinating California´s Public Sector Health Care Purchasing
Michael Bailit and Megan Burns
California HealthCare Foundation – Sept 2013

Understanding State Resistance to the Patient Protection and Affordable Care Act: Is It Really Just Politics As Usual?
Amy Lischko and Beth Waldman
Journal of Health & Biomedical Law – May 2013

Bundled Payments One Year Later: An Update on the Status of Implementations and Operational Findings
Michael Bailit, Megan Burns & Marge Houy
Health Care Incentives Improvement Institute – May 2013

The Employer ROI for Payment Reform: Four Payment Models
Michael Bailit and Kate Bazinsky
Robert Wood Johnson Foundation – February 2013

Synopsis:
These briefs describe the return on investment for employers who implement payment reform and feature employers with experience implementing population-based payment, bundled payment, patient–centered medical home payment and high-intensity primary care program payment.

Role of the Nurse Care Manager in a Patient-Centered Medical Home
Christine Johnson and Marge Houy
CMSA Today - February 2013


2012 Articles & Publications

The Design And Application Of Shared Savings Programs: Lessons From Early Adopters
Joel S. Weissman, Michael Bailit, Guy D'Andrea and Meredith B. Rosenthal
Health Affairs – September 2012

Shared–Savings Payment Arrangements in Health Care
Michael Bailit, Christine Hughes, Megan Burns and David H. Freedman
The Commonwealth Fund – August 2012

Delivering Value: How Value–Based Purchasing Improves Quality and Lowers Costs
Michael Bailit and Megan Burns
Buying Value – July 2012

Bundled Payment Across the U.S. Today: Status of Implementations and Operational Findings
Michael Bailit and Megan Burns
Health Care Incentives Improvement Institute – May 2012

Toward Innovative Models of Health Care and Financing: Matchmaking in Maryland
Kate Bazinsky, Laura Herrera and Joshua Sharfstein
The Journal of the American Medical Association – April 2012

Stabilizing MassHealth Funding: Options to Break the Recurring Cycle of Expansion and Contraction
Beth Waldman, Robert Seifert and Kate Nordahl
Massachusetts Medicaid Policy Institute – February 2012


2011 Articles & Publications

Key Design Elements of Shared-Savings Payment Arrangements

Michael Bailit and Christine Hughes
The Commonwealth Fund - August 2011

The ACA´s Impact on Medicaid: Changes and Opportunities for MassHealth
Beth Waldman and Kate Nordahl
The Massachusetts Medicaid Policy Institute - July 2011
Payment and Delivery Reform Action Briefs

Written by Michael Bailit
Published by Catalyst for Payment Reform - June 2011

Multipayer Patient-Centered Medical Home Implementation Guided by the Chronic Care Model

Written by Robert Gabbay, Michael Bailit et al.
Published by The Joint Commission Journal on Quality and Patient Safety - June 2011

Assessing the Financial Health of Medicaid Managed Care Plans and the Quality of Patient Care They Provide

Michael McCue and Michael Bailit
Published by The Commonwealth Fund - June 15, 2011

Payment Rate Brief

Michael Bailit
Published by the Patient–Centered Primary Care Collaborative – March 30, 2011

Monitoring Medi–Cal: Recommendations for Measuring the Performance of California´s Medicaid Program
Beth Waldman and Michael Bailit
Published by the California HealthCare Foundation - January 2011

Physician Payment Reform Michael Bailit and Christine Hughes
Published in National Business Coalition on Health Value–based Purchasing Guide - January 2011


2010 Articles & Publications

Rhode Island´s Novel Experiment To Rebuild Primary Care From The Insurance Side
Chris Koller, Troy Brennan and Michael Bailit
Published in Health Affairs – May 2010

Value–Based Purchasing and Consumer Engagement Strategies in State Employee Health Plans: A Purchaser Guide
Joshua Slen, Michael Bailit and Marge Houy
Published April 2010

Massachusetts Health Care Reform

Beth Waldman
Published April 7, 2010


2009 Articles & Publications

Covering Children and their Parents – The Massachusetts Model and Implications for National Health Reform
Beth Waldman
Published December 2009

Using Insurance Standards and Policy Levers to Build a High Performance Health System
Michael Bailit and Christopher Koller
Published November 6, 2009

Health Plan Capabilities to Support Value Based Benefit Design
Marge Houy, Michael Joseph, and Laura Jacobus-Kantor
Published October 2009

Value–Based Benefit Design: A Purchaser Guide
Marge Houy
Published September 2009

Pay-for-Performance in the Medi-Cal Managed Care and Healthy Families Programs: Findings and Recommendations
Michael Bailit and Christine Hughes
Published August 2009


2008 Articles & Publications

The Purchaser Guide to the Patient-Centered Medical Home
Michael Bailit and Christine Hughes
Published July 9, 2008


2007 Articles & Publications

The State Children's Health Insurance Program in Massachusetts: Achievements, Challenges and Implications for Health Reform
Beth Waldman
Published April 2007

Physician Pay–for–Performance in Medicaid: A Guide for States
Michael Bailit and Mary Beth Dyer along with Karen LLanos and Joanie Rothstein of the Center for Health Care Strategies
Published April 2007

Purchaser Guide to Value–driven Health Care
Michael Bailit, Marge Houy and Michael Joseph
Published February 2007


2002–2006 Articles & Publications

Understanding the Influence of Publicly Traded Health Plans on Medicaid Managed Care
Michael Bailit and Mary Beth Dyer
Published November 2006

Incentives and Rewards Best Practices Primer: Lessons Learned from Early Pilots
Michael Bailit, Mary Beth Dyer and Michael Joseph
Published July 2006

Putting Quality to Work: Rewarding Plan Performance in Medi–Cal Managed Care
Michael Bailit and Mary Beth Dyer
Published May 2006

As Employers Pull Their Money Out: The Failure of Health Care Cost Control

Michael Bailit
Published June 21, 2005

Beyond Bankable Dollars: Establishing a Business Case for Improving Health Care
Michael Bailit and Mary Beth Dyer.
Published September 2004

State Budget Cuts and Medicaid Managed Care: Case Studies of Four States
Written by Laurie Burgess and Michael Bailit along with independent consultant Trisha Roddy.
Published June 2004

Financial Performance Incentives for Quality: The State of the Art
Health care purchasers are increasingly pursuing how financial incentives can help to motivate quality improvement activity. This monograph provides an overview of a quality incentive–based approach to health care purchasing.
Published September 2002

Ensuring Quality Providers: A Purchaser's Toolkit for Using Incentives Bailit staff have created a "how–to" toolkit for organizations interested in introducing quality incentives with health care providers.
Published May 2002

Ensuring Quality Health Plans: A Purchaser´s Toolkit for Using Incentives

Bailit staff have created a "how–to" toolkit for organizations interested in introducing quality incentives with health plans.
Published March 2002

Provider Incentive Models for Improving Quality of Care

Provider quality incentives are an important component of value–based purchasing. They create a business case for providers to invest their time and effort in health care quality improvement. This monograph identifies the range of provider incentive models that sponsoring organizations should consider.
Published March 2002