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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.
All attention is on the states for activity and innovation in the health policy arena! On issues ranging from coverage to payment, states have become the preferred venue for policymakers to leverage their authority to achieve numerous health policy goals…
As social determinants of health (SDH) become more recognized as significant impacts to healthy living, increasing numbers of state payers and stakeholders are getting involved…
The National Health Care for the Homeless Council defines medical respite care for homeless persons as "acute and post-acute care for those who are too ill or frail to recover from a physical illness or injury on the streets, but are not ill enough to be in a hospital…
The Federal Tort Claims Act (FTCA) Program is 27 years old and has had much success. While coverage has been extensive, health centers have, nonetheless, at times found their coverage limited or non-existent…
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