The various value-based payment models present a significant opportunity for health centers to increase revenues and demonstrate their value. However, these opportunities increase risk health center leaders need to recognize and understand how to navigate. This paper uses the experience of Optum Consulting to discuss key considerations around risk.
This paper provides health centers with some of the tools and expertise necessary to analyze and prepare for risk-based contracting.
Important NACHC Library Content Note: This technical assistance resource was developed prior to the August 2017 release of the Health Center Compliance Manual by the Health Resources and Services Administration’s (HRSA) Bureau of Primary Health Care (BPHC). The BPHC Compliance Manual, issued August 2017, indicates where PINS, PALs and other program guidance are now superseded or subsumed by the BPHC Compliance Manual.
This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS).