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Overview

This section provides guidance to understand the key contract terms involved in negotiating the vendor contract. It is critical to negotiate a vendor contract that takes into account the unique circumstances of your center and incorporates flexibility to meet your reporting needs. Guidance is offered related to indemnification, warranties and disclaimers, liability, dispute resolution, termination and migration, and access to and use of the EHR data.

Purchasing EHR

Molly Rafferty / Friday, September 23, 2022

/ Categories: Population Health, PH and SDH Concepts, Relevance of PHM and SDH, Implementing PHM and SDH, Using Data for PHM and SDH, Improving PHM and SDH Quality, Value Based Payment, Value Based Payment Basics, Data Demonstrating Health Center Value, Engaging in Value Based Payment Models

Managed Care Data Checklist for FQHCs

Companion Document to Video Module: Payer Data: The Managed Care Data. Prepared by Starling Advisors for the HITEQ Center in July 2022.

How to Use This Checklist:
This is a supplement to our Module 2: The Managed Care Data Set, which uses the HCP-LAN APM Framework as its basis. Review both before using this checklist. There are terms used throughout that may be new to you or may benefit from detailed explanations—please visit our Value Based Payment Glossary for basic definitions for a host of key terms.

This document assists organizations in understanding the necessary data and data-related tools for managing population health within a managed care environment. It is a primer on the types of best-practices that are necessary to maximize care delivery models that are responsive to value-based payment programs. Follow this checklist to further your understanding of these considerations and to help flag any outstanding issues for legal and/or consultant review prior to execution.

It is important to understand, contracts can be complicated and no one tool can effectively address all possible contract configurations and their potential issues. Use this as a guide with other resources, access outside expertise when needed, and apply your own knowledge and understanding of your business. It also never hurts to ask the health plan representatives if something is not clearly understood.

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Tags: value-based care Population Health Management value based payment Population Health Value-Based Payment Models value-based value-based payment value based care value-based outcomes value based contracts Mastering Clinical Measures Badge

Documents to download

Managed Care Data Checklist(.pdf, 211.01 KB) - 975 download(s)
Published in July 2022.

Resource Links

Managed Care GlossaryView our Value Based Payment Glossary for basic definitions for a host of key terms.

Related Resources

Acknowledgements

This resource collection was compiled by the HITEQ Center staff with guidance from HITEQ Advisory Committee members and collaborators of the HITEQ Center.