Developed by PCDC in June 2023
This Excel tool helps health centers conduct a strategic review of their health plan contracts - across all product lines including Medicaid, Medicare, and Private/Commercial - to ensure their organization's financial sustainability and capacity to expand services to meet community needs.
HITEQ Value Based Care Basics Series, June 2023
The Value Based Care Basics training is a three-module series. All three modules can be completed by health center leaders to gain a working knowledge of value based care and how to successfully implement it at your health center. This third module includes a video and companion resource related to utilizing payer data.
HITEQ Value Based Care Basics Series, June 2023
The Value Based Care Basics training is a three-module series. All three modules can be completed by health center leaders to gain a working knowledge of value based care and how to successfully implement it at your health center. This second module includes a video and companion resource related to Managed Care data.
Developed with Starling Advisors in 2022
This video module helps health centers to understand how payers use data to evaluate their performance, to learn how to incorporate data into practice to improve value-based payment opportunities, and to prepare with best practices around organizing managed care data.
Companion Document to Value Based Payment Modules
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.
Companion Document to Video Module: Payer Data: The Managed Care Data. Prepared by Starling Advisors for the HITEQ Center in July 2022.
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.
Checklist for FQHCs reviewing contracts, as a supplement to video module. Developed in 2022.
This checklist 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. 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.
Developed with Starling Advisors in 2022
In this 25 minute video we cover the basic mechanics of how FQHCs are paid, the prospective payment system, and how it is evolving over time. We also review the spectrum of value-based payment arrangements using the HCP-LAN framework as a guide. We also discuss the capacity needed to be successful in each of those payment categories. Patient attribution process, including why that data is so critical in value-based payment arrangements, and what questions to ask payer partners about attribution processes are also reviewed. Lastly, a real value-based payment arrangement and related considerations are reviewed.
Tools and Resources to Align Population Health Management Strategies Toward Value-Based Care and Payment
This toolkit is a compilation of tools and resources shared over the course of the Center for Care Innovation's Population Health Learning Network (PHLN) which convened 25 safety net primary care organizations over the course of two years to learn, share, build, and refine care models and implement strategies to strengthen and advance their population health management (PHM) efforts.
Health Center Case Studies Developed with Chiron Strategy Group, June 2019
Panel management is an essential function of a health center. When done well, it smooths the scheduling and operations of the health center; when done poorly it creates challenges with productivity, patient continuity, Quality Improvement reporting, and more. This resource offers guidance on improving panel management activities, including real-life examples from two health centers of the challenges and successes in managing panels.