The FQHC Prospective Payment System, which is cost-based and volume-driven, does not appear to be consistent with the Quadruple Aim and national health care goals. Health centers in several states are looking at new models of payment that focus on population health and outcomes. This session will discuss the goals, structures, and implementation considerations of FQHC alternative payment methodologies (APMs) around the country, as well as other innovative payment systems.
- Understand the relationship between current health center reimbursement and market trends.
- Identify inputs for a cost benefit analysis of pay for performance.
- Perform a high-level calculation of an APM PMPM.