Risk Adjustment for Community Health Centers

Health centers care for a medically and socially complex patient population. While there are many examples of this complexity, as centers go into value-based pay, they are being asked to prove/measure this complexity. This session will evaluate risk adjustment in value-based pay. The session will review current risk adjustments system in place, such as the Ohio CPC program, that rely on diagnosis and service information. We will discuss the importance of risk-adjustment in total cost of care or risk contracts. We will also evaluate what other risk adjustment data is currently available, including the NACHC PRAPARE tool.