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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.
To be successful in the future, health centers will need a system of tools that work for all members of the care team, administrators and executives, community-based care givers, and the patient…
The Affordable Care Act (ACA) fundamentally changed the way healthcare is delivered in the United States in several ways. Most fundamental to the Health Center Program is the ACA-heralded, local decision making as the preferred method for healthcare delivery…
Interested in the latest policy developments from the Bureau of Primary Health Care (BPHC)? This session will provide attendees with an update from BPHC's Office of Policy and Program Development, as well as a litigation update…
States may seek a waiver as a vehicle for demonstrating or implementing new or different ways to administer (deliver and pay for) their Medicaid, CHIP, and Health Insurance Marketplace programs…
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