Tricia McGinnis, M.P.P., M.P.H., is Vice President of Programs at the Center for Health Care Strategies (CHCS). In this role, she helps guide CHCS’s program development and leads initiatives to transform how care is paid for and delivered to improve the quality and reduce the cost of care received by Medicaid beneficiaries. Within this portfolio, Ms. McGinnis oversees a wide range of projects working directly with state Medicaid agencies, health plans, and providers to advance value-based payment models. Her team leads the organization's technical assistance to 38 states awarded the CMMI State Innovation Models (SIM) grants. She directs CHCS' multi-pronged efforts to advance Accountable Care Organizations (ACOs) in Medicaid programs. She also supports initiatives to promote greater linkages between population health and payment reform, including Medicaid participation in CDC's 6/18 Initiative; deliver technical assistance and tools that promote value-based purchasing in Medicaid; and address the social determinants of health. Prior to joining CHCS, Ms. McGinnis managed the provider performance measurement, improvement, and transparency program as a senior program manager at Blue Shield of California. Ms. McGinnis holds master’s degrees in public policy and public health from the University of California, Berkeley. She received a bachelor of arts in political science and economics from Kenyon College.
AcademyHealth collaborated with Nemours Children’s Health System to help state Medicaid programs test approaches to financing upstream prevention and addressing social determinants of health. This brief highlights lessons learned and synthesizes important takeaways from that work.
AcademyHealth and Nemours work in Oregon highlighted that the 2016 Medicaid Managed Care Rules enable Medicaid to fund and pay for a wide range of upstream interventions via managed care.
This installment of the Payment Reform for Population Health blog series focuses on limitations in payment reform and ideas for the creation of the right incentives for population health investments.