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

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

https://www.integratedcaredc.com/wp-content/uploads/2023/09/VBP-101-Teaching-to-the-Tools-VBP-Foundations-Part-5.mp4   Description: The transition to Value-Based Payment (VBP) represents a multifaceted process, encompassing significant system-level adjustments in...
Value-Based Payment (VBP) Virtual Learning Collaborative

Value-Based Payment (VBP) Virtual Learning Collaborative

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...
How to Negotiate Your Share with Payers

How to Negotiate Your Share with Payers

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...

Key Considerations for Value-Based Payment (VBP) Arrangements

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...
VBP Medicaid Managed Care Term Sheet

VBP Medicaid Managed Care Term Sheet

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...

Managing High Cost High Need Individuals

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...
VBP Terminology 101

VBP Terminology 101

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...

VBP Levels

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...

Primary Care Integration

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...

Mergers & Acquisitions

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...

Attribution

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...

Risk Adjustment

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...
Understanding Your Population

Understanding Your Population

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
Technology Infrastructure to Support VBP

Technology Infrastructure to Support VBP

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...
Succeeding in Advanced Alternative Payment Models

Succeeding in Advanced Alternative Payment Models

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...
Quality Measurement for Behavioral Health Providers

Quality Measurement for Behavioral Health Providers

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...
Forming Strategic Partnership Agreements and Care Compacts

Forming Strategic Partnership Agreements and Care Compacts

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...
Technology Infrastructure to Support VBP

Developing Your Value-Based Payment Value Proposition

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...

Contracting for Value-Based Payment

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...

Building a Positive Payer-Provider Partnership

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...
Achieving Total Cost of Care

Achieving Total Cost of Care

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...
Managing Expectations Related to Behavioral Health Carve-In

Managing Expectations Related to Behavioral Health Carve-In

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...
RAG Tool for Quality Measures and Contracts

RAG Tool for Quality Measures and Contracts

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...
Risk Mitigation and Risk Reserves

Risk Mitigation and Risk Reserves

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...

Where Quality Meets Legal – VBP Legal Training Part 3

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...

Measurement Based Care for VBP – Behavioral Health VBP Part 2

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...
Accountable Care Organization (ACO) Fundamentals

Accountable Care Organization (ACO) Fundamentals

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...
LGBTQ+ Cultural Competency Training – Part 2

LGBTQ+ Cultural Competency Training – Part 2

https://www.integratedcaredc.com/wp-content/uploads/2023/06/LGBTQ-Cultural-Competency-Training-Part-2.mp4   Description: Lesbian, gay, bisexual, transgender, and questioning/queer (LGBTQ+) individuals are frequently underserved and experience significant...
Integrated Care DC Managed Care Readiness Workshop

Integrated Care DC Managed Care Readiness Workshop

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...

New Diagnosis of a Chronic Medical Condition (PCBH Series Part 11)

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...
LGBTQ+ Cultural Competency Training Part 1

LGBTQ+ Cultural Competency Training Part 1

https://www.integratedcaredc.com/wp-content/uploads/2023/05/lgbtq-cultural-competency-training-part-1.mp4   Description: Lesbian, gay, bisexual, transgender, and questioning/queer (LGBTQ+) individuals are frequently underserved and experience significant...
Dosing and Titrating Care (PCBH Series Part 10)

Dosing and Titrating Care (PCBH Series Part 10)

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...

Addressing Grief in PCBH (PCBH Series Part 9)

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,...