Value-based payment reimbursement links payment to the quality and effectiveness of the care we deliver. This webinar considers the clinical strategies used to achieve valuable outcomes and demonstrates that the care delivered is effective, including care management, integrated/whole-person care, and measurement-based care.
Medicare, state Medicaid agencies, managed care organizations, and commercial insurers are increasingly adopting value-based payment (VBP) models. Community Health Centers (CHCs) are uniquely positioned to deliver on that high expectation by offering enhanced access to high-quality primary care, coordinating the care delivered by specialists, hospitals, and other institutions, and care managing the most complex individuals. This requires CHCs to transform their care delivery to efficiently deliver optimal patient- and population-level health outcomes and successfully manage costs. Many CHCs are forming clinically integrated Networks to create contracting leverage, make joint investments in data analytics, and collaborate to develop complex care management and clinical models of care. This webinar will explore that national trend and how it may apply to District of Columbia CHCs.
High-need, high-cost (HNHC) patients often face multiple challenges including high disease burden, behavioral health comorbidity, functional limitations, and social barriers to treatment plan compliance. They typically make up just 5 percent of the population but account for 50 percent of health care costs. This webinar will discuss taking a tailored approach to care in order to improve their outcomes.