Integrated Care DC Home
Medicaid Business Transformation DC

Medicaid Business Transformation DC

Medicaid Business Transformation DC offers DC Medicaid providers tools and resources to deliver value-based care and to succeed in value-based payment arrangements to improve whole-person care and outcomes. Funded by the DC Department of Health Care Finance (DHCF), the initiative provides free technical assistance in the form of legal, clinical, financial, and business development support to help your organization align payment with the delivery of more accessible, equitable, coordinated, and accountable person-centered care.

Program Contacts

Amanda White Kanaley
Project Manager
Email Amanda

Caitlin Thomas-Henkel, MSW
Project Director
Email Caitlin

Samantha Di Paola
Project Coordinator
Email Samantha

Program Goals

Prepare health care organizations to succeed in delivering value-based care to improve patient outcomes.
Expand quality measurement to capture more data on outcomes to inform care delivery, payment incentives and population health.
Make key operational and financial system changes for accountable care transformation.
Align payments with value-based care goals to move towards models that encourage coordination and health promotion.

View & Download The VBP Toolkit

View & Download The Virtual Learning Collaborative Materials

Medicaid Business Transformation Resources

Strategies for Negotiating Managed Care Contracts – VBP Legal Training Part 1

Clinically Integrated Networks: Build, Buy or Stay on the Sidelines – FQHC Part 1

Value-Based Purshing 101: The “Basics” – VBP Foundations Part 1

Promise and Perils of Value Based Purchasing VBP – Behavioral Health VBP Part 1

Health Care Provider Checklist for Entering into Managed Care Contracts

Understanding Key Terms in Managed Care Contracts (VBP Legal Training Part 2)

Value-Based Payment: Is it disrupting health care for the better? Role of a Capitated Alternative Payment Model (FQHC Part 2)

Accountable Care Organization (ACO) Fundamentals

Measurement Based Care for VBP – Behavioral Health VBP Part 2

Where Quality Meets Legal – VBP Legal Training Part 3

Data-Driven Insights to Advance Behavioral Health Quality – VBP Foundations Part 2

Evaluating D.C.’s Medicaid Provider Ecosystem for Partnership Opportunities to Strengthen Your Clinic’s Negotiating Position

Risk Mitigation and Risk Reserves

Getting to an Advanced APM as a BH Provider – Behavioral Health VBP Part 3

Allocation of Value-Based Payment Incentive Payments to Optimize Performance – VBP Foundations Part 3

Clinical and Programmatic Implications of VBP – VBP Foundations Part 4

RAG Tool for Quality Measures and Contracts

Managing Expectations Related to Behavioral Health Carve-In

Understanding Your Clinic’s Current Strengths & Potential in the Context of DC’s Medicaid MCOs’ Legal Obligations to DHCF

Value-Based Payment: Is it Disrupting Health Care for the Better? Role of a Clinically Integrated Network

Risk Adjustment

Attribution

Mergers & Acquisitions

Primary Care Integration

VBP Levels

VBP Terminology 101

Managing High Cost High Need Individuals

VBP Medicaid Managed Care Term Sheet

Key Considerations for Value-Based Payment (VBP) Arrangements

How to Negotiate Your Share with Payers

Value-Based Payment (VBP) Virtual Learning Collaborative

VBP 101 (Teaching to the Tools) – VBP Foundations Part 5

View & Download The VBP Toolkit

View & Download The Virtual Learning Collaborative Materials

Integrated Care DC is managed by the DC Department of Health Care Finance (DHCF) in partnership with the DC Department of Behavioral Health (DBH). This project is supported by the U.S. Department of Health and Human Services (HHS). A total of $3,500,365, or 81 percent, of the project is financed with federal funds, and $810,022, or 19 percent, is funded by non-federal sources. The contents are those of the author(s) and do not necessarily represent the official views of, or an endorsement by, HHS or the U.S. Government.