Negotiating with Managed Care Organizations: Paying for Value Begins with Measuring the Quality of Care

Understanding how managed care plans use performance measures to improve the quality of care of their populations and evaluate care delivery is important when considering value-based reimbursement. This relationship is even more important when reimbursement ties directly to the health center's quality performance measures. This session will assist health centers in how to work together and with their PCAs and HCCNs to negotiate favorable participation agreements with managed care organizations (MCOs). Your peers will discuss how they leveraged the right information when negotiating fair contract terms with payers and how aligning performance measures impacts the quality of care.