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The Quadruple Aim
Quadruple Aim

A Conceptual Framework

Improving the U.S. health care system requires four aims: improving the experience of care, improving the health of populations, reducing per capita costs and improving care team well-being. HITEQ Center resources seek to provide content and direction aligned with the goals of the Quadruple Aim

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Resource Overview

There are many tools available and a number of vendors serving the market for PHM technologies, making implementation decisions and planning a challenge for health centers.  Resources in this section provide a framework for PHM vendor selection and a roadmap for PHM and SDH implementation.  Case examples are provided to demonstrate health centers’ experiences implementing PHM and SDH.

Implementation of PHM and SDH Resources

HITEQ Center
/ Categories: Population Health, Value Based Payment, Value Based Payment Basics, Engaging in Value Based Payment Models

Value Based Payment Contract Review Checklist for FQHCs

Checklist for FQHCs reviewing contracts, as a supplement to video module. Developed in 2022.

The checklist, which can be downloaded below, will walk you through a series of common considerations for contracts you may receive from payers, with a specific focus on contracts that include value-based payment components. This checklist is a supplement to our Module 1: Value-Based Payment Basics for FQHCs, which uses the HCP-LAN APM Framework as its basis. Review both before using this checklist; they are linked below.

Work through this checklist to be sure you understand these considerations and to help you flag any outstanding issues for legal and/or consultant review prior to execution of the contract.

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.

The information presented in the checklist attached does not take the place of individual legal and/or expert advice on specific situations found in payer contracts. There is no substitute for individualized guidance before agreeing to terms and conditions. Always defer to a qualified professional when entering relationships with payers.

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Acknowledgements

This resource collection was cultivated and developed by the HITEQ team with valuable contributions from the National Association of Community Health centers (NACHC) as well as HITEQ's Advisory Committee and many health centers who have graciously shared their experiences with HITEQ.

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