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...
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...

Valuable Revenue Cycle Tip of the Week #7

  Valuable Revenue Cycle Tip of the Week #7 is one of the FREE resources provided by Rev-Up DC, sponsored by the Department of Health Care Finance (DHCF). to help DC Medicaid Behavioral Health providers transition to participating in the Managed Care contracts....

Valuable Revenue Cycle Tip of the Week #6

  Valuable Revenue Cycle Tip of the Week #6 is one of the FREE resources provided by Rev-Up DC, sponsored by the Department of Health Care Finance (DHCF). to help DC Medicaid Behavioral Health providers transition to participating in the Managed Care contracts....

Valuable Revenue Cycle Tip of the Week #5

  Valuable Revenue Cycle Tip of the Week #5 is one of the FREE resources provided by Rev-Up DC, sponsored by the Department of Health Care Finance (DHCF). to help DC Medicaid Behavioral Health providers transition to participating in the Managed Care contracts....

Valuable Revenue Cycle Tip of the Week #4

  Valuable Revenue Cycle Tip of the Week #4 is one of the FREE resources provided by Rev-Up DC, sponsored by the Department of Health Care Finance (DHCF). to help DC Medicaid Behavioral Health providers transition to participating in the Managed Care contracts....

Valuable Revenue Cycle Tip of the Week #3

  Valuable Revenue Cycle Tip of the Week #3 is one of the FREE resources provided by Rev-Up DC, sponsored by the Department of Health Care Finance (DHCF). to help DC Medicaid Behavioral Health providers transition to participating in the Managed Care contracts....

Cooking Healthy Meals at Home

Help your patients navigate the barriers to healthy home cooking such as time, comfort, cost, and navigating the Supermarket. Download the PDF        

Start With One Thing

Help your patient’s identify goals and create a plan to shift their eating habits. Download the PDF        

Building a Healthier Plate

Help your patients take charge of their health by becoming more aware of their relationship with the food. Download the PDF          

Valuable Revenue Cycle Tip of the Week #2

  Valuable Revenue Cycle Tip of the Week #2 is one of the FREE resources provided by Rev-Up DC, sponsored by the Department of Health Care Finance (DHCF). to help DC Medicaid Behavioral Health providers transition to participating in the Managed Care contracts....

Valuable Revenue Cycle Tip of the Week #1

  Valuable Revenue Cycle Tip of the Week #1 is one of the FREE resources provided by Rev-Up DC, sponsored by the Department of Health Care Finance (DHCF). to help DC Medicaid Behavioral Health providers transition to participating in the Managed Care contracts....

MAT and Tele MAT Pre Appointment Self Assessment

This one-page self-assessment can be utilized before individual or group MAT appointments; this tool aligns with ASAM criteria allowing the provider to plan for the current session and to aid in treatment planning. With a slight modification, this could also be used...

Virtual Best Practices for Providers and Care Team Members

The front of this handout reviews what providers need to know, do and have a plan for prior to individual or group telehealth sessions. The back of the handout reviews important features of Zoom (TM) for those staff using Zoom (TM) as a platform for delivering...

Buprenorphine Outpatient Prescriber Information

This one-page handout is designed for busy outpatient providers who wish to start a patient on buprenorphine but need guidance on what to do before, important things not to forget when starting, how to monitor patients on buprenorphine, what to do if the patient is or...

Patient Guide to Starting Buprenorphine

This one-page handout will help patients understand when they will start buprenorphine, based on the last time they used opioids and their current level of symptoms. It describes how to take buprenorphine in order for it to help with cravings and withdrawal symptoms,...

Problem Solving Worksheet

This worksheet guides the clinician and person receiving services in following the seven steps of problem-solving: Identifying the problem Describing the goal Brainstorming solutions Evaluating the pros and cons for each potential solution Choosing the preferred...

Relaxation Handout

This patient-facing handout reviews basic steps for meditation, deep breathing, progressive muscle relaxation, and imagery. This can be used when explaining stress reduction techniques to patients. Download the PDF    ...

Medicine and Grief During the COVID-19 Era The Art of Losing

In a matter of months, coronavirus 2019 (COVID-19) has transformed not just how we live but also how we leave this world. Physicians and nurses struggle to accompany patients who die alone and support families who cannot follow the usual customs of grief: gathering at...

Half of Health Workers Report Burnout Amid COVID-19

The COVID-19 pandemic has placed an extraordinary amount of stress on physicians and other health professionals. But those elevated levels of stress and burnout are not hitting all equally, according to the results of a national survey of more than 20,000 doctors and...

Physician Burnout

The health care environment—with its packed workdays, demanding pace, time pressures, and emotional intensity—can put physicians and other clinicians at high risk for burnout. Burnout is a long-term stress reaction marked by emotional exhaustion, depersonalization,...

Stigma, Discrimination, Treatment Effectiveness, & Policy

Public Views About Drug Addiction & Mental Illness Research has revealed pervasive and persistent negative attitudes among Americans toward persons with mental illness. A study that compared 1999 and 2006 data from the General Social Survey (GSS) indicated...

ASHP Guidelines on Preventing Diversion of Controlled Substances

Controlled substances (CS) diversion in health systems can lead to serious patient safety issues, harm to the diverter, and significant liability risk to the organization. Diversion driven by addiction puts patients at risk of harm, including inadequate relief of...

COVID-19: The Hidden Impact on Mental Health & Drug Addiction

There is concern the Coronavirus Disease (COVID)-19 pandemic is having a negative impact on the mental health of the general population through a range of suggested mechanisms: fear, uncertainty, and anxiety; social distancing/isolation; loneliness; and economic...

Caring for the Caregiver: A Guide for Physicians

A caregiver can be any relative, partner, friend or neighbor who has a significant personal relationship with, and provides a broad range of assistance for a child or an adult with a chronic or disabling condition. These individuals may be primary or secondary...