Data-Driven Insights to Advance Behavioral Health Quality – VBP Foundations Part 2

Advances in digital technologies and data analytics have created unparalleled opportunities to assess health data accelerating the ability of science to understand and contribute to improved health behavior and health outcomes. Additionally, behavioral health in the United States is being challenged to address persistent health inequities while improving the quality and value of the care delivered. As regulators, payors, and policies push behavioral health toward data-driven performance, the pressure for behavioral health providers to measure and monitor outcomes increases. This training will introduce providers to the key facets of using data to drive performance including metric selection, diagnosing performance issues and acting on data, driving innovation, and making data analytics a central part of the behavioral health quality strategy.

Allocation of Value-Based Payment Incentive Payments to Optimize Performance – VBP Foundations Part 3

One of the greatest threats to success for clinically integrated networks is an uneven commitment from disparate providers to improve patient outcomes and reduce avoidable, low-value healthcare costs. Success depends on providers investing time and other resources to achieve performance targets. Although the distribution of value-based payments should certainly take into consideration the number of patients either attributed or served, it must also recognize the contribution each entity made to generate the incentive payments. This webinar will explore principles and examples of distribution methodologies aimed at fairly allocating those dollars.

Clinical and Programmatic Implications of VBP – VBP Foundations Part 4

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.

Value-Based Payment: Is it Disrupting Healthcare for the Better? Role of a Clinically Integrated Network – FQHC Part 3

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.

CRISP DC – Consent Tool

CRISP DC is excited to share that patients may now consent to share their substance abuse disorder (SUD) data via the CRISP DC consent tool. This webinar will educate clinicians about the uses of the consent tool and how it can be used to improve care coordination throughout the District.

Managing High Cost High Need Individuals – Behavioral Health VBP Part 4

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.

VBP 101 (Teaching to the Tools) – VBP Foundations Part 5

The transition to Value-Based Payment (VBP) represents a multifaceted process, encompassing significant system-level adjustments in healthcare delivery and reimbursement. Effectively implementing these changes requires a methodical and developmental approach. To facilitate this transition, a comprehensive toolkit has been designed, empowering healthcare providers to evaluate their existing readiness and access resources essential for enhancing their capabilities to operate within a value-based payment framework. In this webinar, we will introduce providers to this invaluable toolkit and guide them on how to navigate it seamlessly.

Key Considerations for Value Based Payment Arrangements – VBP Legal Training Part 4

Value-Based Payment (VBP) arrangements with MCOs are generally described in a separate exhibit to a provider's managed care contract. This session will help participants assess the opportunities and risks of participating in VBP arrangements by evaluating legal terms associated with pay-for-performance programs, total cost of care programs, and capitation payment arrangements. Finally, the session will offer participants practice pointers for evaluating contract terms and examples of favorable and unfavorable VBP contract terms.

Value-Based Payment Virtual Learning Collaborative

View Resource The previously recorded webinar and associated materials are available in the resource library. Transitioning to payment models that support value-based care means doing business differently. Many District healthcare […]

Districtwide Training on Medicaid Renewal

The meeting will share information on the basics of Medicaid Renewal and how to navigate districtdirect.dc.gov, the District's Medicaid online portal. If you assist Medicaid beneficiaries with checking their coverage, updating […]