Federally Qualified Health Centers Value Based Payments Policy - - PowerPoint PPT Presentation

Policy Development and Program Management Rate Analysis & Development May 7, 2018

Federally Qualified Health Centers Value Based Payments

Brian Sandoval Governor

Marta Jensen Administrator Division of Health Care Financing and Policy

Division of Health Care Financing and Policy

Housekeeping

• Please silence phones

– if a call comes in, please step outside of the room to take it

• For those on the phone – Please put on mute

– please do not place call on hold, rather disconnect and call back in if you must take another call

• Please hold questions and comments until

discussion segment

• When speaking, please state your name and

identify organization

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Division of Health Care Financing and Policy

Value Based Payment 3/22/18 Overview

• Value Based Payment (VBP) Project presented
• Discussion of rewarding providers for performance of

increased health outcomes

• Two options presented; A or B

– Option A; NOW – Option B; slow down process and request monetary assistance

• Opt B chosen

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Division of Health Care Financing and Policy

Today’s Topics

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• What performances do we want to focus
• n?
• Why are these measures worth a bonus

payment?

Quality Measures

• How will these goals be measured?
• How will bonus payment be achieved?

Outcome Measures

Division of Health Care Financing and Policy

HRSA

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Division of Health Care Financing and Policy

HEDIS>CCBHC>MCO

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Division of Health Care Financing and Policy

Discussion

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Current Measures attempting to meet? Measures that should be replicated ? Number of measures to be focused on? Why are these

• f value?

Original quality measures?

Division of Health Care Financing and Policy

Discussion cont.

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Outcome Measures- The HOW?

How will these goals be measured? Bonus Payment structure? Additional thoughts?

Division of Health Care Financing and Policy

Up-Coming

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June 2018

• 3rd VBP Public Workshop
• Data and Services

July 2018

• 4th VBP Public Workshop
• Plan Design

August 2018

• 5th (and potentially final) VBP Public Workshop
• Final Concept