Raising the Bar: Value-Based Purchasing to Address Population Health

Thursday, August 16th
1:30pm – 3:00pm

State health policymakers are identifying innovative mechanisms to address the social determinants of health by including new requirements or incentives within value-based purchasing and contracting arrangements. This session highlights how states are using value-based payment roadmaps and Medicaid managed care contracting as levers to increase health and well-being and to control costs. Officials from three states discuss their models, share strategies, and identify practical ideas to address the social and economic factors that influence health through value-based purchasing.


Ryan Ashe, Director, Medicaid Payment Reform, New York State Department of Health

Ryan is a passionate champion of healthcare transformation and payment reform. He believes in aligning incentives that support public sector domains to fundamentally improve people’s quality of life. Prior to leading NYS’ Medicaid payment reform efforts, Ryan advised State governments on major health & human services transformations, including Affordable Care Act implementation and developing integrated service delivery capabilities. Ryan is a veteran of NYS policy, having advised on a number of issue areas in the NYS Legislature.


MaryAnne Lindeblad, Medicaid Director, Washington State Health Care Authority
MaryAnne Lindeblad

MaryAnne Lindeblad brings a broad health care and administrative background to the Washington Medicaid program. She has been an active health care professional and leader spanning most aspects of health care including acute care, long-term care, behavioral health care, eldercare and services for people with disabilities. MaryAnne served for two years as Assistant Secretary for Aging and Disability Services Administration with the Department of Social and Health Services, and Director of the Health Care Services Division with the Health Care Authority. Lindeblad has held a variety of leadership positions, including Assistant Administrator of the Public Employees Benefits Board, and Director of Operations for Unified Physicians of Washington. In 2010, she was selected for the inaugural class of the Medicaid Leadership Institute. MaryAnne currently chairs the executive committee for the National Academy for State Health Policy, serves on the boards of the National Association of Medicaid Directors and Olympia Free Clinic. Lindeblad holds a bachelor of science in nursing from Eastern Washington University, and master’s in public health from the University of Washington.


Marie Zimmerman, State Medicaid Director, State of Minnesota

Marie Zimmerman State Medicaid Director has devoted over a decade to public-sector health care in Minnesota, spearheading critical reforms and innovations that have been watched and emulated nationally. Appointed Minnesota’s Medicaid director in 2014, Marie oversees the strategic policy direction and the core business functions of Medicaid and the Basic Health Program (BHP), called MinnesotaCare. The combined budgets of Medicaid and MinnesotaCare topped $11.5 billion in 2016 and provide health coverage to 1 in 5 Minnesotans, delivering health care, behavioral health services and long-term services and supports to more than one million people.
During Marie’s tenure, the state has saved over $1.5 billion through managed care reform and purchasing innovations. Savings include $213 million related to improved health outcomes for Medicaid enrollees through an accountable care model called Integrated Health Partnerships; a collaborative, patient-focused approach to delivering care while lowering cost. In addition, Marie has managed a successful Basic Health Program that provides affordable and comprehensive coverage for lower-income Minnesotans who do not qualify for Medicaid. Prior to her service as Medicaid director, Marie acted as health care policy director for the Minnesota Department of Human Services, where she led early efforts to reform health care purchasing for Medicaid, moving the state toward a pay-for-value model.
Marie is a recipient of the Women in Health Care Leadership Award from Women’s Health Leadership TRUST. She serves on the boards of the National Academy for State Health Policy and the National Association of Medicaid Directors.
Marie lives in Minneapolis with her family. She holds a Master of Public Policy from the University of Minnesota’s Humphrey School of Public Affairs and earned a bachelor’s degree in economics and political science from the University of St. Thomas in Minnesota.


This session was made possible with support from the Robert Wood Johnson Foundation.