CMS, State Medicaid programs and commercial payers are getting more aggressive in moving providers from volume to value-based pay (VBP). Exactly how VBP will be implemented is evolving, particularly for FQHCs, but it does appear to be here to stay. COVID-19 demonstrated that fee-for-service doesn’t provide the flexibility providers need to pivot their models to meet the changing needs of their patients and communities. And, CMS demonstrated its continuing commitment to VBP by issuing a letter to Medicaid Directors on September 15, 2020, with information on how to advance payment to support value-based care. FQHCs will need to develop capabilities to be successful as VBP continues to evolve. This session will describe the types of VBP methodologies that are being discussed, the clinical and financial capabilities FQHCs will need to be successful, and how health centers can prepare for VBP.
Engage in VBP discussions at their health center or in their community.
Identify financial and clinical capabilities their health center will need to be successful in VBP.
Generate ideas for how their health center could prepare for VBP.