The document describes a detailed, 10-step process with decision trees and financial models for providers to use when making the case for and considering changes in payment and service delivery.  The document also outlines the kinds of data required in order to submit a sound business case.  This document is also accompanied by a webinar describing it and how to use it.

These slides are from a HRSA/BPHC Webinar Thursday, July 23, 2015 reviewing the most recent research studies of health center cost effectiveness.  The slides from this webinar describe the research methods by leading health economists finding that health centers generally exhibit lower total costs of care and better patient outcomes compared to other primary care providers.

This research report describes its methodology and findings that Michigan health center Medicaid patients have lower monthly costs compared to Medicaid members who are not health center patients.

This 2014 California study compared state Medicaid (Medi-Cal) utilization of a population of adults served by a health center to those in the population who were not. The study found that health center patients were less likely to have an inpatient stay, hospital readmission, and emergency room visit.

This customizable document uses health center data to support them in demonstrating their value to potential partners and key stakeholders. The document provides evidence for how health centers align with the Triple Aim.

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 Medicaid Core Measures Set, and MSSP ACo Performance Pathway. Links are included throughout.

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 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.

It is important to understand, contracts can be complicated and no one tool can effectively address all possible contract configurations and their potential issues. Use this as a guide with other resources, access outside expertise when needed, and apply your own knowledge and understanding of your business. It also never hurts to ask the health plan representatives if something is not clearly understood.

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.

Our nation aspires to achieve value-based healthcare. As clinicians and providers, we work daily to deliver high quality patient care.  Do you know how to measure your quality driven efforts? This webinar will provide you with side-by-side comparisons of healthcare delivery and Value Score determination. 

Learning Objectives: 

1. Identify the quality measurement framework.
2. Describe the four components of the Value Score.
3. Identify next steps to obtain your organization’s value score.

Demonstrating the value of health centers is a necessary element of sustainability and measuring benefit. How value is assessed can range from illustrating cost effectiveness and evaluating performance measures to ensuring access to reliable, high-quality, and equitable care.

The purpose of this webinar is to provide a clear, digestible demonstration of the value that Health Care for the Homeless grantees provide and the impact of the HCH integrated care framework on health care. We will provide clear examples of the uniqueness of populations experiencing homelessness and the invaluable work that HCH grantees and those providing direct services give to our communities.