Brian Sandoval Marta Jensen Governor Administrator Division of Health Care Financing and Policy Federally Qualified Health Centers Value Based Payments Policy Development and Program Management Rate Analysis & Development May 7, 2018
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 2 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 3 Division of Health Care Financing and Policy
Today’s Topics • What performances do we want to focus Quality on? • Why are these measures worth a bonus Measures payment? • How will these goals be measured? Outcome • How will bonus payment be achieved? Measures 4 Division of Health Care Financing and Policy
HRSA 5 Division of Health Care Financing and Policy
HEDIS>CCBHC>MCO 6 Division of Health Care Financing and Policy
Discussion Current Number of measures to Measures be focused on? attempting to meet? Measures that Why are these should be of value? replicated ? Original quality measures? 7 Division of Health Care Financing and Policy
Discussion cont. Outcome Measures- The HOW? How will these goals be measured? Bonus Payment structure? Additional thoughts? 8 Division of Health Care Financing and Policy
Up-Coming • 3 rd VBP Public Workshop June • Data and Services 2018 • 4 th VBP Public Workshop July • Plan Design 2018 • 5 th (and potentially final) VBP Public Workshop August • Final Concept 2018 9 Division of Health Care Financing and Policy
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