Value Based Care Series





Value Based Care Series
Community health center pursuit of value-based payment (VBP) presents an opportunity to strengthen patient care through innovation. The goal of these sessions is to share what Federally Qualified Health Centers (FQHCs) and primary care associations (PCAs) in other states are doing to pursue VBP, and facilitate a discussion among this group as to how those lessons may apply to the unique Tennessee market.
 
Discussion will include use of alternative payment methodologies (APMs) to create and implement clinically and financially integrated delivery systems for care coordination services; a pay-for-quality program; and a shared savings/risk opportunity on total cost of care. There will be special attention paid to the role of clinical providers and their leadership in the necessary care delivery transformation.


This training is designed to advance the clinical provider’s understanding of value-based care. Provider leaders are encouraged to attend along with their c-suite peers to provide opportunity for discussion of team based strategies to strengthen patient care through innovation.


Primary Care Practice Redesign Supported
by a New Payment Model

Tuesday, July 14, 2020
1 - 2:30 p.m. Central

Overview
Tennessee Community Health Centers (CHCs) have rapidly and innovatively transformed the way that they offer access to primary care under the COVID-19 pandemic, supported by loosening of telehealth payment rules.  What would primary care look like if payment rules were further loosened, allowing CHCs to use the most appropriate member of the care team in the most member-centric fashion that facilitated optimal health outcomes while sustaining historical Medical revenue streams?  Sound too good to be true?  That opportunity exists for Tennessee CHCs and will be explored and discussed in this session.

About the Speaker 
Dr. Art Jones, Health Management Associates

Dr. Jones is a principal at Health Management Associates, where he focuses on advancing clinically and financially integrated provider organizations. He is a sought-after national expert in creating FQHC APMs, having assisted model development in Washington State, Washington DC, New York, Delaware, Connecticut, Michigan, and Georgia. He was part of the HMA team that worked with the State of Idaho Medicaid Agency to develop their shared savings program. He has consulted with several other primary care associations, other FQHC integrated delivery systems, and individual FQHCs nationally to negotiate APMs and to improve performance on those value-based payment arrangements.
   
Managing the Full Continuum of Care
Tuesday, July 21, 2020
1 - 2:30 p.m. Central


Overview
Value is in the eye of the beholder.  When that beholder is the payer and ultimately society, the definition of value is population health in the context of managing total cost of care.  Community Health Centers and other primary providers of medical and behavioral health services are uniquely positioned to deliver on that high expectation by offering enhanced access to high quality primary care, coordinating the care delivered by specialists, hospitals and other institutions and care managing the most complex individuals.  Advanced alternative payment models both incent primary care providers and hold them financially accountable for this higher calling.

About the Speaker 
Dr. Art Jones, Health Management Associates

Dr. Jones is a principal at Health Management Associates, where he focuses on advancing clinically and financially integrated provider organizations. He is a sought-after national expert in creating FQHC APMs, having assisted model development in Washington State, Washington DC, New York, Delaware, Connecticut, Michigan, and Georgia. He was part of the HMA team that worked with the State of Idaho Medicaid Agency to develop their shared savings program. He has consulted with several other primary care associations, other FQHC integrated delivery systems, and individual FQHCs nationally to negotiate APMs and to improve performance on those value-based payment arrangements.
  
FQHC Value-Based Care:
The Menu of Options and the Tennessee Selection

Tuesday, July 28, 2020
1 - 2:30 p.m. Central


Overview
Now that aspirations have been heightened, what is the unique path forward for Tennessee Community Health Centers (CHCs)?  CHCs and their primary care associations around the country are creating strategic plans toward pursuit of ever-increasing value-based care.  What are those examples that can inform a decision of what fits the Tennessee market while allowing flexibility for individual FQHCs to progress at a rate that reflects their readiness?  What are next steps in Tennessee?

About the Speaker 
Dr. Art Jones, Health Management Associates

Dr. Jones is a principal at Health Management Associates, where he focuses on advancing clinically and financially integrated provider organizations. He is a sought-after national expert in creating FQHC APMs, having assisted model development in Washington State, Washington DC, New York, Delaware, Connecticut, Michigan, and Georgia. He was part of the HMA team that worked with the State of Idaho Medicaid Agency to develop their shared savings program. He has consulted with several other primary care associations, other FQHC integrated delivery systems, and individual FQHCs nationally to negotiate APMs and to improve performance on those value-based payment arrangements.
  


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