With its sustained commitment to building a value-based care environment, Ohio has become a leader in the transition from volume to value. How can FQHCs participate in this vibrant state environment and maximize their opportunities to achieve clinical and financial success?
Ohio’s unique SIM grant in 2013 laid the foundation for a new approach to value-driven healthcare in an attempt to shift its position as 17th in the nation spending but bottom 25 percent in outcomes. The transformation plan is divided into two major programs: The Comprehensive Primary Care (CPC) program and Episodes of Care (Episodes) initiative.
For close to a decade, Ohio has been a quiet but determined leader in the value-based care community. Building off a State Innovation Model (SIM) grant in 2013, the Buckeye State has completely overhauled its Medicaid program by implementing a multifaceted, value-driven program designed to improve quality and reduce unnecessary costs.
Medicare’s newest contracting model, ACO REACH, builds on previous successes and opens up new opportunities for FQHCs to participate in value-based care.
Value-based care can be a springboard for building stronger, more effective partnerships between FQHCs and community-based organizations so FQHCs can better provide the holistic, personalized care that vulnerable populations desperately need.
Getting started with value-based care doesn’t have to be difficult. If you are an FQHC looking to take your first steps into this new financial environment, this checklist can help assess your readiness and put you on the right path to success.
Everyone likes immediate results, but true success with value-based care takes time, commitment, and persistence. Is it worth it to start right now? All signs point to “yes.”
Whether taking advantage of an IPA or going it alone, FQHCs have a lot to consider, including these best practices for getting started in the world of value-based reimbursement.
Formally moving away from fee-for-service by joining a value-based care model can help FQHCs overcome some of their most deeply entrenched financial and clinical challenges.
Value-based care is only going to become more widespread as federal regulators, commercial payers, and other influential stakeholders double down on their commitment to its successful approach. Here's more on what that means for Federally Qualified Health Centers.
Value-based care offers many opportunities to community health centers struggling to find success in a difficult reimbursement environment. Is joining the value-based care movement the right step for your FQHC?
Before you sign on the dotted line, make sure your FQHC is fully informed and aligned with your targeted payer around all the complicated details of a value-based care contract.
For five years, New York’s $8 billion DSRIP initiative guided the redevelopment of the state’s Medicaid program. Now, a new Value-Based Payment Roadmap aims to take some of the most successful components of DSRIP to invite FQHCs in NY to actively participate in value-based care.
For Federally Qualified Health Centers (FQHCs) in NY with a grounding in value-based care, 2022's new Value-Based Payment (VBP) Roadmap contains many familiar elements. FQHCs can choose from three levels of risk, each of which includes its own calculation for potential shared savings returned to the contracting entities.
More and more opportunities are arising for FQHCs in New York State, which has ambitious goals for health system reform, to participate in value-based care.
Technology is extremely important for proactive clinical decision-making, eliminating administrative obstacles, improving access, and strengthening the patient-provider relationship. However, we cannot rely on technology alone. We must also use policy levers and emerging reimbursement strategies to create an environment where FQHCs have the skills, resources, and bandwidth to successfully adopt and leverage health IT tools for the greater good.
New York State’s draft 1115 waiver for Medicaid redesign contains many promising provisions for FQHCs, but there are still opportunities to strengthen the care delivery ecosystem for vulnerable populations.
As lawmakers extend Medicare telehealth flexibilities originally tied to the COVID-19 pandemic, FQHCs need to keep building their virtual care competencies to better serve vulnerable patients in their communities.
With CHCs now taking their turn to benefit from everything value-based care has to offer, here are the top ten terms prospective participants need to know about this innovative and challenging approach to delivering optimal care to vulnerable communities.
In the modern reimbursement environment, payment models come in all shapes and sizes. Here are the five main payment types, from the basics of fee-for-service to the challenges of full capitation.
