Michael H. Bailit, M.B.A.
President

Michael founded Bailit Health Purchasing, LLC in 1997 and has worked with a wide array of government agencies and purchasing coalitions across the U.S. since. Michael's professional interests focus on how purchasers and regulators can influence health care markets to operate as effectively and efficiently as possible.

Michael has worked with clients on performance assessment activities, vendor management, Chronic Care Model/Medical Home strategy design and implementation, reimbursement system design, and the use of incentives to motivate desired performance. Michael´s work has also included assistance with strategic planning activities for systems and programs.

Prior to founding Bailit Health Purchasing, Michael served as the Assistant Commissioner for Benefit Plans in the Massachusetts Division of Medical Assistance, the state Medicaid agency. His responsibilities included the management of all of the Division's benefit plans, including the HMO, behavioral health, primary care case management, and senior care programs. For each of these programs he designed and supervised the execution of procurements as well as ongoing vendor performance management. He was also responsible for new managed care program development for the Division, including the Division´s HCFA 1115 health reform waiver and its 1115 Medicare-Medicaid dual-eligible waiver. While with Massachusetts, he served as chair of the HCFA (now CMS) Medicaid Managed Care Technical Advisory Group.

Also while with Massachusetts, Michael founded the Massachusetts Healthcare Purchaser Group and served as its chairman and president from 1993-1996. The MHPG is a statewide coalition of public and private purchasers of health insurance and is the leading voice of purchasers in the Commonwealth.

Previously, Michael worked for Digital Equipment Corporation and was engaged in health and welfare benefit planning and management activities for Digital's 60,000 U.S. employees.

Michael earned a Bachelor of Arts degree from Wesleyan University and earned an M.B.A. from the Kellogg School of Management at Northwestern University.

Selected Published Articles

Bailit M, Hughes C "Key Design Elements of Shared-Savings Payment Arrangements", Published by The Commonwealth Fund, August 2011.

Bailit M "Payment and Delivery Reform Action Briefs", Published by Catalyst for Payment Reform, June 2011.

Gabbay R, Bailit M, et al. "Multipayer Patient-Centered Medical Home Implementation Guided by the Chronic Care Model", Published by The Joint Commission Journal on Quality and Patient Safety, June 2011.

McCue M, Bailit M "Assessing the Financial Health of Medicaid Managed Care Plans and the Quality of Patient Care They Provide", The Commonwealth Fund, June 15, 2011.

Bailit M "Payment Rate Brief", Patient-Centered Primary Care Collaborative, March 2011.

Waldman B and Bailit M "Monitoring Medi-Cal: Recommendations for Measuring the Performance of California's Medicaid Program", California HealthCare Foundation, January 2011.

Bailit M and Hughes C. "Physician Payment Reform in National Business Coalition on Health Value-based Purchasing Guide", National Business Coalition on Health, January 2011.

Koller C, Brennan T and Bailit M "Rhode Island’s Novel Experiment To Rebuild Primary Care From The Insurance Side", Health Affairs - May 2010.

Slen J, Bailit M and Houy M "Value–Based Purchasing and Consumer Engagement Strategies in State Employee Health Plans: A Purchaser Guide" The Commonwealth Fund, April 2010.

Bailit M and Koller C "Using Insurance Standards and Policy Levers to Build a High Performance Health System" The Commonwealth Fund, November 6, 2009.

Bailit M and Hughes C "Pay-for-Performance in the Medi-Cal Managed Care and Healthy Families Programs: Findings and Recommendations" California HealthCare Foundation, August 2009.

Bailit M and Hughes C "The Purchaser Guide to the Patient-centered Medical Home." Patient Centered Primary Care Collaborative, July 2008.

Llanos K, Rothstein J, Dyer MB and Bailit M "Physician Pay-for-Performance in Medicaid: A Guide for States" Center for Health Care Strategies, Lawrenceville, NJ, April 2007.

Bailit Health Purchasing (Bailit MH, Houy M, Joseph MS). "Purchaser Guide to Value-driven Healthcare" The Leapfrog Group, Washington, DC, February 2007.

Hurley R, McCue M, Dyer MB and Bailit M. "Understanding the Influence of Publicly Traded Health Plans on Medicaid Managed Care" Center for Health Care Strategies, Lawrenceville, NJ, November 2006.

Bailit Health Purchasing (Bailit MH, Dyer MB, Joseph MS). "Incentives and Rewards Best Practices Primer: Lessons Learned From Early Pilots" The Leapfrog Group, Washington, DC, July 2006.

Bailit M. and Dyer MB. " Putting Quality to Work: Rewarding Plan Performance in Medi-Cal Managed Care." California HealthCare Foundation, Oakland, CA, May 2006.

Bailit M "As Employers Pull Their Money Out: The Failure of Health Care Cost Control." The Piper Report (piperreport.com), June 21, 2005.

Bailit M and Dyer MB "Beyond Bankable Dollars: Establishing a Business Case for Improving Health Care." Commonwealth Fund, New York, NY, September 2004.

Bailit Health Purchasing (Dyer MB, Bailit MH), "Ensuring Quality Health Plans: A Purchaser´s Toolkit for Using Incentives." National Health Care Purchasing Institute, Washington, DC, May 2002.

Bailit Health Purchasing (Dyer MB, Bailit MH), "Ensuring Quality Providers: A Purchaser´s Toolkit for Using Incentives. National Health Care Purchasing Institute, Washington, DC, May 2002.

Dyer MB, Bailit MH, Hurley R. "Forecasting the Future of Medicaid and SCHIP Purchasing: Using Current Trends and Challenges to Develop New Opportunities." Center for Health Care Strategies, Lawrenceville, NJ, March 2002.