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.
How to Use This Checklist:
This is a supplement to our Module 2: The Managed Care Data Set, which uses the HCP-LAN APM Framework as its basis. Review both before using this checklist. There are terms used throughout that may be new to you or may benefit from detailed explanations—please visit our Value Based Payment Glossary for basic definitions for a host of key terms.
This checklist will walk you, the health center, through a series of common considerations for contracts you...
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...
A Crosswalk Comparison of Clinical Quality Measures from The HITEQ Center
This spreadsheet developed by the HITEQ Center provides a crosswalk of Clinical Quality Measures and their electronic specifications as defined in the 2022 update for Eligible Professionals (Clinicians). Fields include the crosswalk of measures with related information about CMS, NQF, and MIPS ID, and Telehealth Eligiblity, as well as inclusion in CY2022 UDS, Million Hearts, NCQA digital quality measures (dQMs), Quality Rating System Measure Set, CMS Adult / Child...
Published in May 2021, Updated June 2021
Food insecurity has doubled since the onset of the COVID-19 pandemic in March 2020, and has tripled among families with children. Not having enough access to food is a key contributor to negative health outcomes for adults and children alike, and it is important now more than ever for health centers to identify and support patients who are experiencing food insecurity.
This resource is designed to support health center efforts to identify and assist patients who are experiencing food...
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.
A background on what you need and how to use it
This resource will equip health center stakeholders with the understanding of what data-related capacity is needed to succeed under risk-based payment models.
A quick reference guide, updated Dec. 2021
This resource will equip health center stakeholders with the understanding of how standardized social determinants of health (SDoH) data can be used and which ICD 10 Z codes can be used to document a patient's social needs, and are therefore pertinent to a standardized SDoH data set.
An Infographic for Providers on the Benefits of Coding for SDH
The purpose of the infographic is to describe how SDH data would be used for a variety of goals that would have traction with the clinic staff audience who may likely need to modify workflows and behavior in order to collect such data. The visual case could be used in presentations or hung on a provider break room wall.