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In designing value-based benefits and engaging in VBP, public and private payers should be required to employ incentives that ensure the most effective use of health care resources.
State policymakers should establish and develop all-payer claims databases.
Systems and strategies that help people of all ages maximize function, independence, and well-being should be supported.
Medicare and Medicaid policies should efficiently deliver optimal care for beneficiaries with chronic illnesses and disabling conditions.
Medicare and Medicaid should facilitate joint funding streams to enable the coordinated delivery of health services and LTSS for beneficiaries enrolled in both programs.
Budget-neutrality requirements should be eliminated for current and future Medicare and Medicaid demonstrations regarding care coordination and medical homes for beneficiaries with chronic conditio
Beneficiary and provider participation in chronic-care coordination programs and medical homes should be voluntary.
A medical home should include voluntary patient selection of a primary provider or medical practice.