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Value Based Payment Resource Sets

Better Evidence. Better Decisions. Better Health: Payer Perspectives

An Academy Health Webinar

HITEQ Center 0 8935

Payers are in a unique perspective to drive the use of evidence in practice. Whether through coverage decisions, utilization review, or coinsurance, there are many strategies payers use to reflect the value of specific therapies within the marketplace. So, what information do payers feel they need to guide these efforts? Raj Sabharwal, M.P.H., Director at AcademyHealth will discuss his article “Developing Evidence That Is Fit for Purpose: A Framework for Payer and Research Dialogue,” which describes efforts to develop and refine a decision-making framework that considers payers’ perspectives on the utility of evidence generated by different types of research methods, including real-world evidence. Panelists from the National Pharmaceutical Council and AcademyHealth’s Corporate Council and will provide insight into the decision-making framework and will provide perspectives from their own institutions. 

Health Centers in the Era of Accountable Care

Insights from AltaMed Health Services

HITEQ Center 0 21162

Funded by the Robert Wood Johnson Foundation, this case study highlights the successful experiences of AltaMed and three key factors to shaping their role in  payment reform, care delivery transformation, and their financial sustainability. This white paper complements an AltaMed case study written by the Integrated Healthcare Association as part of the same RWJF grant. The case study describes how AltaMed uniquely positioned itself to engage in a diverse array of value based payment models; the models they pursued; and the data used to transform care and ensure financially viable models. 

Making the Business Case for Payment and Delivery Reform

A resource for providers on how to make a business case for reforms in payment and delivery systems and what data sources are required to do so.

Center for Health Care Quality and Payment Reform 0 21579

The document describes a detailed, 10-step process with decision trees and financial models for providers to use when making the case for and considering changes in payment and service delivery.  The document also outlines the kinds of data required in order to submit a sound business case.  This document is also accompanied by a webinar describing it and how to use it.

Are Health Centers Cost Effective?

A Review of Recent Research on Health Center Cost of Care

HRSA BPHC 0 21628

These slides are from a HRSA/BPHC Webinar Thursday, July 23, 2015 reviewing the most recent research studies of health center cost effectiveness.  The slides from this webinar describe the research methods by leading health economists finding that health centers generally exhibit lower total costs of care and better patient outcomes compared to other primary care providers.

The ACO Conundrum

Safety-Net Hospitals in the Era of Accountable Care

John Snow, Inc. 0 20065

Funded by the Robert Wood Johnson Foundation, this paper discusses four safety net hospitals navigating accountable care efforts and the role of health centers in those efforts.

An Evaluation of the Cost Efficiency of Federally Qualified Health Centers (FQHCs) and FQHC ‘Look-Alikes’ Operating in Michigan

A Review of Recent Research on Health Center Cost of Care

Institute for Health Policy at Michigan State University 0 20538

This research report describes its methodology and findings that Michigan health center Medicaid patients have lower monthly costs compared to Medicaid members who are not health center patients.

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Acknowledgements

This resource collection was cultivated and developed by the HITEQ team with valuable contributions from the HITEQ's Advisory Committee and many health centers who have graciously shared their experiences with HITEQ.

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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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