Download the Presentation PDFs for All Sessions Description: Transitioning to payment models that support value-based care means doing business differently. Many District healthcare providers are requesting assistance preparing for and implementing this important...
https://www.integratedcaredc.com/wp-content/uploads/2023/09/How-to-Negotiate-Your-Share-with-Payers.mp4 Description: This short take video will outline the elements of shared savings contract and where the “share” fits in. It will outline some of the key...
https://www.integratedcaredc.com/wp-content/uploads/2023/09/Key-Considerations-for-Value-based-Payment-VBP-Arrangements.mp4 Description: Value-Based Payment (VBP) arrangements with MCOs are generally described in a separate exhibit to a provider’s managed...
Description: This tool helps FQHCs understand all of the various VBC elements that are encompassed in a model or program and can impact performance and hence are important consideration in the contract analysis. It provides the considerations, but also guidance on how...
https://www.integratedcaredc.com/wp-content/uploads/2023/09/Managing-High-Cost-High-Need-Individuals.mp4 Description: High-need, high-cost (HNHC) patients often face multiple challenges including high disease burden, behavioral health comorbidity, functional...
https://www.integratedcaredc.com/wp-content/uploads/2023/09/VBP-Terminology-101.mp4 Description: VBP comes with lots of new vocabulary (and a deluge of new acronyms – including “VBP”). Come learn some of the key words, concepts, and constructs...
https://www.integratedcaredc.com/wp-content/uploads/2023/09/VBP-Levels.mp4 Description: Different states (and the Health Care Payment Learning and Action Network) define different types of value-based contracts in different ways. Gain an understanding of the...
https://www.integratedcaredc.com/wp-content/uploads/2023/09/Primary-Care-Integration.mp4 Description: Studies have shown that $1 invested in integrating primary and behavioral healthcare will yield $4.50 in savings…and clients and providers both like integrated...
https://www.integratedcaredc.com/wp-content/uploads/2023/09/Mergers-and-Acquisitions.mp4 Description: One of the core concepts for VBP is attribution. Come learn about this critical component of the contracting process. Facilitators: Josh Rubin, MPP Download...
https://www.integratedcaredc.com/wp-content/uploads/2023/09/Attribution.mp4 Description: One of the core concepts for VBP is attribution. Come learn about this critical component of the contracting process. Facilitators: Josh Rubin, MPP Download the...
https://www.integratedcaredc.com/wp-content/uploads/2023/09/Risk-Adjustment.mp4 Description: CMS has signaled its intent to move from strict fee-for-service reimbursement to value-based payment for Medicaid as it has been actively doing for Medicare over the...
Description: This resource emphasizes the importance of understanding a patient population for successful VBP and provides a foundational understanding of the key considerations in population assessment. Download the Tool
Description: This resource serves as a gap assessment for providers and a roadmap for the needed infrastructure to succeed in advanced value-based models. As providers transition from value-based payment models centered around quality performance to models with...
Description: This resource describes the competencies that providers must systematically master to thrive within each Health Care Payment Learning Action Network (LAN) category. At the very least, all alternative payment models (APMs) necessitate providers to achieve...
Description: This resource serves as a comprehensive guide, offering a step-by-step process for the creation of an integrated and comprehensive quality strategy. The strategy’s core components are thoroughly examined, encompassing population health outcomes and...
Description: This resource is designed to assist leaders in introducing and educating staff about value-based payment (VBP) and value-based care, with a strong emphasis on leadership’s unwavering commitment to the program’s success. Achieving success in VBP...
Description: This resource introduces an initial approach for creating accountable and outcome-driven partnerships spanning the network of healthcare and community-based providers, all geared towards enabling comprehensive, whole-person care. The central focus is on...
Description: This resource covers the development of a value proposition, a compelling statement or proposition that outlines the unique benefits and value that a healthcare provider or organization offers to payers, service recipients, and other stakeholders. A...
Description: This resource provides contracting tools to support value-based payment arrangements, beginning with a description of the components of legally enforceable contracts and the legal terms generally found in such contracts. The materials describe key legal...
Description: This resource provides strategies for cultivating a strong relationship with a Managed Care Organization (MCO) when entering into a value-based purchasing agreement. It provides insights into what the payer values and pinpoints measurable outcomes that...
Description: This resource assists providers in understanding the transition from value-based arrangements, which were previously constructed solely on the achievement of quality metrics, to models now grounded in the total cost of care. It furnishes providers with a...
https://www.integratedcaredc.com/wp-content/uploads/2023/09/Value-based-Payment-Is-it-disrupting-health-care-for-the-better-Role-of-a-Clinically-Integrated-Network.mp4 Description: Medicare, state Medicaid agencies, managed care organizations, and commercial...
https://www.integratedcaredc.com/wp-content/uploads/2023/09/Managing-Expectations-Related-to-Behavioral-Health-Carve-In.mp4 Description: Basic overview of legal requirements for DC’s Medicaid MCOs and how these requirements intersect with behavioral...
https://www.integratedcaredc.com/wp-content/uploads/2023/09/RAG-Tool-for-Quality-Measures-and-Contracts.mp4 Description: RAG is a tool designed to assess the viability of expectations related to quality metrics and reporting requirements providers may encounter...
https://www.integratedcaredc.com/wp-content/uploads/2023/09/Clinical-and-Programmatic-Implications-of-VBP-.mp4 Description: Value-based payment reimbursement links payment to the quality and effectiveness of care we deliver. This webinar considers the clinical...
https://www.integratedcaredc.com/wp-content/uploads/2023/09/Allocation-of-Value-Based-Payment-Incentive-Payments-to-Optimize-Performance-–-VBP-Foundations-Part-3.mp4 Description: One of the greatest threats to success for clinically integrated networks is an...
https://www.integratedcaredc.com/wp-content/uploads/2023/09/Getting-to-an-Advanced-APM-as-a-BH-Provider-–-Behavioral-Health-VBP-Part-3.mp4 Description: What does VBP really mean for BH providers (beyond P4P). How do you get to an advanced APM as a BH provider?...
https://www.integratedcaredc.com/wp-content/uploads/2023/09/Risk-Mitigation-and-Risk-Reserves.mp4 Description: Once health care providers have demonstrated the ability to reach quality performance targets and generate surplus in a shared savings pool, they may...
https://www.integratedcaredc.com/wp-content/uploads/2023/09/Data-Driven-Insights-to-Advance-BH-Quality.mp4 Description: Advances in digital technologies and data analytics have created unparalleled opportunities to assess health data accelerating the ability of...
https://www.integratedcaredc.com/wp-content/uploads/2023/08/Where-Quality-Meets-Legal-–-VBP-Legal-Training-Part-3.mp4 Description: This session will provide an orientation to quality initiatives implemented by MCOs in their managed care contracts. The session...
https://www.integratedcaredc.com/wp-content/uploads/2023/08/Measurement-Based-Care-for-VBP-–-Behavioral-Health-VBP-Part-2.mp4 Description: The use of measurement-based care (MBC) centers on the use of regular patient-reported outcome measures throughout their...
https://www.integratedcaredc.com/wp-content/uploads/2023/08/Accountable-Care-Organization-ACO-Fundamentals.mp4 Description: A basic overview of the structure and function of Accountable Care Organizations (ACO) as well as an exploration of their challenges and...
https://www.integratedcaredc.com/wp-content/uploads/2023/08/Value-Based-Payment-Is-it-Disrupting-Healthcare-for-the-Better-FQHC-Part-2.mp4 Description: This webinar will focus on the “why” of transitioning from fee-for-service to capitation to pay for community...
https://www.integratedcaredc.com/wp-content/uploads/2023/08/Understanding-Key-Terms-in-Managed-Care-Contracts-VBP-Legal-Training-Part-2.mp4 Description: Managed care contracts, like many legal contracts, are challenging to understand. This session will provide...
Description: This is a self-assessment tool intended to help healthcare providers plan for negotiations around proposed managed care contracts. The tool can be used for internal conversations to analyze key terms, develop strategic direction, and set priorities for...
https://www.integratedcaredc.com/wp-content/uploads/2023/08/Promise-and-Perils-of-Value-Based-Purchasing-VBP-–-Behavioral-Health-VBP-Part-1.mp4 Description: Value is a function of impact and cost. BH providers provide a very high-impact, relatively low-cost...
https://www.integratedcaredc.com/wp-content/uploads/2023/08/Value-Based-Purchasing-101-The-Basics.mp4 Description: An introduction to the basic concepts, structures, models, and mechanics of value-based payments. Facilitators: Suzanne Daub, MS, LCSW Principal...
https://www.integratedcaredc.com/wp-content/uploads/2023/08/Clinically-Integrated-Networks-Build-Buy-or-Stay-on-the-Sidelines.mp4 Description: CMS has signaled its intent to move from strict fee-for-service reimbursement to value-based payment for Medicaid as...
https://www.integratedcaredc.com/wp-content/uploads/2023/08/Strategies-for-Negotiating-Managed-Care-Contracts.mp4 Description: Many providers have little experience negotiating contracts with managed care organizations. This session will provide an orientation...
https://www.integratedcaredc.com/wp-content/uploads/2023/06/Engaging-Families-In-Primary-Care-Behavioral-Health-PCBH-Series-12.mp4 Description: PCBH services not only facilitate change at the individual level but impact the family system. Conversely, family...
Download the Presentation PDF All Sessions View materials from the event hosted by the Department of Health Care Finance, DBH Training Institute, and Integrated Care DC on May 9, 2023. The in-person workshop was designed for behavioral health providers and other...
https://www.integratedcaredc.com/wp-content/uploads/2023/05/New-Diagnosis-of-a-Chronic-Medical-Condition-PCBH-Series-Part-11.mp4 Description: The diagnosis of a long-term health condition can be frightening and overwhelming for many people. Behavioral health...
https://www.integratedcaredc.com/wp-content/uploads/2023/04/dosing-and-titrating-care-pcbh-series-part-10.mp4 Description: A core skill in caring for patients in primary care is the ability to dose and titrate care for individual patients in a way that produces...
https://www.integratedcaredc.com/wp-content/uploads/2023/05/Addressing-Grief-in-PCBH-PCBH-Series-Part-9.mp4 Description: Loss and grief are common and often come up during primary care encounters. Grief can be caused by separations, incapacity, bereavement,...
