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Provider-led PASS organizations defend model; lawmakers press on reimbursements and oversight
Summary
DHS and CEOs of provider-led PASS organizations briefed the committee on PASS operations, enrollment and community investments, reported $81 million in savings since March 2019 through mid-2021, and answered questions about low member vaccination rates, prior proposed reimbursement changes and oversight mechanisms including PBM monitoring and contract transition clauses.
The committee heard a multi-part briefing on the Provider-led Arkansas Shared Savings Entity (PASS) model and its role in serving Medicaid beneficiaries with behavioral health and intellectual/developmental disabilities. Mark White of the Arkansas Department of Human Services described PASS as a model created by the legislature in 2017 that pays a capitated, monthly fee to provider-led entities that coordinate care for assigned beneficiaries. "Each pass organization is a partnership between Arkansas Medicaid providers...Providers have to own at least 51% of each pass," White said.
Scale and reported savings: DHS told the committee there are just under 50,000 Medicaid beneficiaries assigned to PASS organizations. White said DHS has reported $81,000,000 in savings from the PASS model between March 2019…
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