Summary of Accelerating Value-Based Payment in Federally Qualified Health Centers: Options for Medicaid Plans

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00:00:00 - 01:00:00

The video discusses how Medicaid plans can use value-based payment models to improve quality and reduce costs. The video provides an overview of the work that Rocky Mountain Health Plans has done to accelerate value-based payment in federally qualified health centers. The video discusses how the Colorado Health Care Association and Rocky Mountain Health Care have developed a team-based care model incorporating medical dental, behavioral health, and social health workers.

00:00:00 This webinar discusses a few successful examples of value-based payment models for federally qualified health centers (FQHCs) and Medicaid health plans. The presentations will be followed by a moderated discussion.
00:05:00 The report discusses four common payment models for value-based payments: pay for performance, bundled payments, risk arrangements, and capitation. Each has its own advantages and disadvantages, and FQHCs need to take into account both statutory requirements and their own PPS rates in order to be eligible for VBP. There are also challenges, such as dealing with the rules around a PPS or APM, and significant startup costs. Overall, FQHCs are able to implement VBP models that improve quality and reduce costs, but they must take into account a variety of factors.
00:10:00 Today's guests share a Colorado VBP model and how it has been successful in aligning mission and goals, creating trust and transparency, and establishing strong governance structures. They also discuss how community buy-in is important for a successful partnership.
00:15:00 This video provides an overview of the work that Rocky Mountain Health Plans (RMHP) has done to accelerate value-based payment in federally qualified health centers (FQHCs). RMHP has partnered with nearly all of the FQHCs and community mental health centers in its region, developed criteria for tiers of care, and articulated the benefits of each tier. RMHP's Medicaid program has focused on providers that demonstrate quality and performance improvements.
00:20:00 The video discusses the Accelerating Value-Based Payment (AVBP) model for federally qualified health centers (FQHCs). The model focuses on EMM services and uses a capitated payment model, as well as shared savings incentives. The model has been successful in achieving high attribution rates for top-tier FQHCs.
00:25:00 The video describes how Colorado uses a risk sharing arrangement and produces a lot of data to help monitor and improve the performance of its behavioral health providers. The state also uses a four quadrant model to stratify its behavioral health and physical health programs.
00:30:00 The video discusses how Mountain Family Health Centers has been successful in transforming its payment model to become more value-based, and how risk adjustment and coding help make this possible. The video also discusses how performance is measured and shared among providers at Mountain Family Health Centers.
00:35:00 The video discusses how the Colorado Health Care Association (CHCA) and Rocky Mountain Health Care (RMHC) have developed a team-based care model incorporating medical dental, behavioral health, and social health workers, with the goal of providing value-based care to patients. The model has been difficult to implement, but has been successful in transitioning CHCs into a risk-based environment and transforming their federal dollars to per member per month.
00:40:00 Inland Empire Health Plan (IEHP) provides coverage in Riverside and San Bernardino counties in California. IEHP has 16 IPA network members and is a county sponsored government agency. IEHP's network is a mixed model with IPAs covering its medical network and participating in Medicare. IEHP has ihb direct which is almost half of its enrollment. IEHP is working to control costs through value-based care and alignment of incentives.
00:45:00 The video discusses ways Medicaid plans can reward providers for quality care and incentivize them to coordinate care across all aspects of a patient's care. The video also discusses how Riverside University Health System is implementing a shared savings program with providers, which rewards providers for quality care with increased shares of shared savings.
00:50:00 The moderator, Tricia McGinnis, introduces the Accelerating Value-Based Payment in Federally Qualified Health Centers: Options for Medicaid Plans video and discusses the program's goals. The program provides Medicaid plans with data on shared savings programs in other health centers to help them manage costs and improve quality.
00:55:00 The presenter discusses how CHCs selected its first Federally Qualified Health Center (FQHC) partners, describing how the health plan embedded health homes team members in each of the selected clinics to provide face-to-face care for members as well as telephone support.

01:00:00 - 01:30:00

This video discusses ways to accelerate the value-based payment process for federally qualified health centers (FQHCs). The video features Dr. Kurt Straub, who discusses how Medicaid plans can embed care management teams in clinics to improve care coordination and improve member outcomes. Straub also discusses how Medicaid plans can deploy community care teams to provide care closer to members' homes.

01:00:00 The video discusses ways Medicaid plans can accelerate the value-based payment process for federally qualified health centers (FQHCs). The video features Dr. Kurt Straub, a physician and senior vice president of clinical operations at a large FQHC, who discusses how Medicaid plans can embed care management teams in clinics to improve care coordination and improve member outcomes. Straub also discusses how Medicaid plans can deploy community care teams to provide care closer to members' homes.
01:05:00 The video discusses the process of accelerating value-based payment in federally qualified health centers (FQHCs). The video discusses the challenges that FQHCs face in gathering data, and how integrating with other health systems can help mitigate those challenges.
01:10:00 This video discusses ways that Medicaid plans can accelerate value-based payments for federally qualified health centers (FQHCs). The presenter suggests that clinical data integration and health information exchange are key to making successful value-based payment transitions. They also suggest that providers work with plans that are innovative in data sharing.
01:15:00 The video discusses ways that Medicaid plans can accelerate the value-based payment process for federally qualified health centers (FQHCs). The video discusses the importance of attribution versus auto-assignment, explains how Patrick made the shift from auto-assignment to attribution, and discusses how Medicaid plans can track performance and make adjustments to payment accordingly.
01:20:00 The video discusses ways that Medicaid plans can accelerate value-based payment for federally qualified health centers (FQHCs). The video also discusses strategies for dealing with social determinants of health (SCH).
01:25:00 This video discusses ways to improve the delivery of value-based payments to federally qualified health centers (FQHCs). The authors focus on restructuring contracts with medical providers, expanding shared savings programs, and risk adjustment. They suggest that FQHCs also contract with their hospital affiliations in order to improve member care.
01:30:00 This video discusses the importance of value-based payment in federally qualified health centers (FQHCs). The discussion includes examples of how value-based payment can improve care and system change. The video also notes that FQHCs are important partners in the quest to improve healthcare, and that value-based payment is just one tool in their toolbox.