Bailit Health has assisted over 150 clients since 1997 to improve methods for purchasing or regulating health and human services. A partial listing of these clients can be found below, as well as examples of the types of work that we have conducted for them.
Rhode Island Office of the Health Insurance Commissioner
Assist OHIC with the development and implementation of revised Affordability Standards designed to strengthen the primary care sector and make health insurance more affordable.
Bailit initially conducted in–depth interviews with key stakeholders to determine the strengths and weaknesses of the original Affordability Standards. Based on those findings, Bailit worked closely with OHIC to draft revised Affordability Standards that furthered OHIC's goals as well as being responsive to emerging trends in the marketplace. Bailit is continuing to work closely with OHIC to facilitate two stakeholder advisory groups and provide technical assistance to implement the new standards.
Back to Top >Vermont Green Mountain Care Board
Transform payment across public and private payers to non–fee–for–service payment models.
Bailit worked with Board staff and with work groups of payers, providers and state agency staff to support the development and implementation of an aligned Medicaid and commercial three–year ACO pilot, including the payment model, performance measures and performance standards. This was followed by work to create a single ACO statewide all–payer model, to be enabled by a federal waiver, and to design a state regulatory structure to oversee the waiver program.
Back to Top >Colorado Department of Health Care Policy and Financing
Update payment policies for a state Medicaid program
Bailit reviewed current Colorado payment policies across an array of Medicaid vendors and providers (managed care organizations, behavioral health organizations, enhanced primary care reimbursement, federally qualified health centers, durable medical equipment, skilled nursing facilities, Program for All–Inclusive Care for the Elderly (PACE), and services for the developmentally disabled); researched strategies utilized by other Medicaid programs nationally, and made recommendations to Colorado for short and long-term updates of their payment policies.
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