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Preliminary results from accountable care organizations: Better care coordination, high interest among PEBB Program members

| Oct 18, 2017 | Washington

OLYMPIA -- A new approach to providing medical benefits for public employees has yielded high-quality care and proven popular among those who selected it, according to results released today at the Health Care Authority’s (HCA) purchaser’s conference. In 2016, HCA’s Public Employees Benefits Board (PEBB) Program began offering an accountable...[ Read More ]

ACHs achieve second milestone, advancing Medicaid transformation

| Sep 20, 2017 | Washington

All nine Accountable Communities of Health (ACHs) have passed phase 2 certification, a critical achievement in the Medicaid Transformation Demonstration (Demonstration). Their success signals another step toward the 2021 goal of whole person health care and better management of state resources. Each ACH will receive $5 million to continue: Building...[ Read More ]

Amerigroup chosen as third-party administrator for Foundational Community Supports program

| Jun 9, 2017 | Washington

The Health Care Authority (HCA), in partnership with the Department of Social and Health Services (DSHS), has selected Amerigroup as the third-party administrator for the jointly managed Foundational Community Supports program. The program is a critical part of Washington State’s Medicaid Transformation Demonstration. Amerigroup will work with HCA to manage...[ Read More ]

HCA seeks examples of bundled payment in care delivery

| May 2, 2017 | Washington

The Health Care Authority (HCA) has issued a request for information (RFI) to learn more about what providers around the state have done with bundled episodes of care. This will help inform HCA’s future planning around bundled payments. Bundled payments are a key strategy for HCA's move toward value-based purchasing....[ Read More ]

Dorothy Frost Teeter announces departure from Health Care Authority

| Apr 26, 2017 | Washington

Dorothy Frost Teeter today announced her plan to leave the Health Care Authority (HCA) on June 30, after leading the agency since 2013. “Dorothy’s vision and leadership for a healthier Washington bolstered our state and ensured residents have access to high-quality, affordable health care,” said Gov. Jay Inslee, who appointed...[ Read More ]

Apple Health paper claims submission practices changing

| Jul 6, 2016 | Washington

Effective October 2016, the Health Care Authority (HCA) will accept only electronic claims for Apple Health (Medicaid) services, except under very limited circumstances. We are making this change to improve efficiency in processing claims.   Providers may seek approval to submit paper claims if they are in a temporary or long-term...[ Read More ]