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Resource Overview

Provided in these resources are examples of Health Center engagement in Value Based Payment.

Engaging in Value Based Payment Models

[Video] FQHC Value Based Payment Basics

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 attribution processes are also reviewed. Lastly, a real value-based payment arrangement and related considerations are reviewed.

Note that this module, like all resources provided by the HITEQ Center, is intended for educational purposes only. The information presented here does not take the place of individual legal and/or expert advice on specific situations found in payer contracts. There is no substitute for individualized guidance before agreeing to terms and conditions. Always defer to a qualified professional when entering relationships with payers.

Documents to download

Previous Article The FQHC Alternative Payment Methodology Toolkit: Fundamentals of Developing a Capitated FQHC APM
Next Article Coding Social Determinants of Health (SDH) for Optimizing Value
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Acknowledgements

This resource collection was cultivated and developed by the HITEQ team with valuable contributions from the HITEQ's Advisory Committee and many health centers who have graciously shared their experiences with HITEQ.

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Quadruple Aim

A Conceptual Framework

Improving the U.S. health care system requires four aims: improving the experience of care, improving the health of populations, reducing per capita costs and improving care team well-being. HITEQ Center resources seek to provide content and direction aligned with the goals of the Quadruple Aim

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