Value in Health Care: Payer Perspectives for FQHCs Value in Health Care: Payer Perspectives for FQHCs A NACHC Webinar Event HITEQ Center / 6/2/2016 3:00 PM - 4:00 PM 0 12094 The National Association of Community Health Centers (NACHC) is hosting this webinar that will present panelists from both public and private payers to discuss their organization’s goals, how they define "value," and what their organizations are doing to promote value-based care. Read more
Better Evidence. Better Decisions. Better Health: Payer Perspectives Better Evidence. Better Decisions. Better Health: Payer Perspectives An Academy Health Webinar HITEQ Center / 6/9/2016 2:00 PM - 3:00 PM 0 13522 Payers are in a unique perspective to drive the use of evidence in practice. Whether through coverage decisions, utilization review, or coinsurance, there are many strategies payers use to reflect the value of specific therapies within the marketplace. So, what information do payers feel they need to guide these efforts? Raj Sabharwal, M.P.H., Director at AcademyHealth will discuss his article “Developing Evidence That Is Fit for Purpose: A Framework for Payer and Research Dialogue,” which describes efforts to develop and refine a decision-making framework that considers payers’ perspectives on the utility of evidence generated by different types of research methods, including real-world evidence. Panelists from the National Pharmaceutical Council and AcademyHealth’s Corporate Council and will provide insight into the decision-making framework and will provide perspectives from their own institutions. Read more
Health Care Payment and Learning Action Network (HCP-LAN) website Health Care Payment and Learning Action Network (HCP-LAN) website Website for Working Group established by the Department of Health and Human Services on Payment Reform HCP-LAN / Tuesday, September 27, 2016 0 31457 This website includes resources to support health care’s transition to alternative payment models. Read more
Health Centers in the Era of Accountable Care Health Centers in the Era of Accountable Care Insights from AltaMed Health Services HITEQ Center / Tuesday, September 27, 2016 0 28934 Funded by the Robert Wood Johnson Foundation, this case study highlights the successful experiences of AltaMed and three key factors to shaping their role in payment reform, care delivery transformation, and their financial sustainability. This white paper complements an AltaMed case study written by the Integrated Healthcare Association as part of the same RWJF grant. The case study describes how AltaMed uniquely positioned itself to engage in a diverse array of value based payment models; the models they pursued; and the data used to transform care and ensure financially viable models. Read more
Making the Business Case for Payment and Delivery Reform Making the Business Case for Payment and Delivery Reform A resource for providers on how to make a business case for reforms in payment and delivery systems and what data sources are required to do so. Center for Health Care Quality and Payment Reform / Tuesday, September 27, 2016 0 27422 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. Read more
Transforming Payment for Oregon’s Community Health Centers through an Alternative Payment Methodology Transforming Payment for Oregon’s Community Health Centers through an Alternative Payment Methodology A Robert Wood Johnson Foundation Payment Reform Evaluation Project University of Washington Department of Health Services / Tuesday, September 27, 2016 0 26785 Description of an evaluation of the Oregon health center Alternative Payment Methodology Read more
Are Health Centers Cost Effective? Are Health Centers Cost Effective? A Review of Recent Research on Health Center Cost of Care HRSA BPHC / Tuesday, September 27, 2016 0 29219 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. Read more
Payment Reform Glossary, First Edition Payment Reform Glossary, First Edition Definitions and Explanations of the Terminology Used to Describe Methods of Paying for Healthcare Services Center for Healthcare Quality and Payment Reform / Tuesday, September 27, 2016 0 18450 An excellent guide to definitions and terms commonly used when discussing payment reform, health care finance, and common value based payment models. Read more
The ACO Conundrum The ACO Conundrum Safety-Net Hospitals in the Era of Accountable Care John Snow, Inc. / Tuesday, September 27, 2016 0 28582 Funded by the Robert Wood Johnson Foundation, this paper discusses four safety net hospitals navigating accountable care efforts and the role of health centers in those efforts. Read more
An Evaluation of the Cost Efficiency of Federally Qualified Health Centers (FQHCs) and FQHC ‘Look-Alikes’ Operating in Michigan An Evaluation of the Cost Efficiency of Federally Qualified Health Centers (FQHCs) and FQHC ‘Look-Alikes’ Operating in Michigan A Review of Recent Research on Health Center Cost of Care Institute for Health Policy at Michigan State University / Tuesday, September 27, 2016 0 28286 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. Read more
Managed Care Glossary for Health Centers Managed Care Glossary for Health Centers Companion Document to Value Based Payment Modules Managed Care Glossary for Health Centers
Managed Care Data Checklist Managed Care Data Checklist Companion Document to Video Module: Payer Data: The Managed Care Data. Prepared by Starling Advisors for the HITEQ Center in July 2022. Managed Care Data Checklist
Value Based Payment Contract Review Checklist for FQHCs Value Based Payment Contract Review Checklist for FQHCs Checklist for FQHCs reviewing contracts, as a supplement to video module. Developed in 2022. Value Based Payment Contract Review Checklist for FQHCs