Bill > SB0493

This bill allows managed care organizations (MCOs) in Indiana to enter into value-based contracts with Medicaid providers starting July 1, 2025. Value-based contracting is a payment model where healthcare providers are compensated based on patient health outcomes rather than traditional fee-for-service arrangements. The bill specifies that MCOs are responsible for ensuring high-quality care for Medicaid recipients and can use various payment models with provider agreement, including case rates (fixed payments for treating a specific medical condition), total cost of care arrangements (payments based on overall healthcare spending), pay for value bonuses (additional compensation for achieving specific quality metrics), and bundled payments (a single payment covering all services related to a specific treatment or procedure). This approach aims to incentivize more efficient and effective healthcare delivery while potentially reducing overall healthcare costs.

Health and Social Services

https://iga.in.gov/legislative/2025/bills/senate/493/details