Behavioral Health Integrator

Glossary of managed care and value based payment terms that may be useful to health centers and health center stakeholders beginning to explore this topic.

This checklist will walk you, the health center, 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 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.

Community health centers are participating in a healthcare marketplace that is gradually moving from volume to value. Because of health centers’ financial and infrastructure limitations, it may not be prudent for them to engage in full risk contracts at this point. This webinar described the continuum of value-based contracting, and suggested steps for health centers to move up the continuum. It also outlined basic elements of infrastructure to perform well in a value-based environment. Presenters from Yakima Valley Farm Workers Clinic presented their experience.