This Week in CHCACTion!
August 27, 2018
This Week in CHCACTivities
Last week, I had the privilege of participating in the National Association of Community Health Center’s (NACHC’s) 4th annual Payment Reform Summit. This one-day event brought together Primary Care Associations (PCAs), Health Center Controlled
Networks (HCCNs), and health centers from across the country to engage in discussions about payment reform and efforts underway to prepare health centers for a likely change in reimbursement methodology. Across the whole health care spectrum, national and state-level discussions are ongoing about switching from a system that reimburses on a per-visit basis (“volume”) to one that reimburses at least partially based on health outcomes and other metrics (“value”). There were four overarching topics at the Summit:
- Formal care teams that can address Social Determinants of Health (SDOH) and other needs of specific populations are the foundation for being successful under value-based payment models.
- Coding must properly document the diagnosis and care that is being provided. Doing so is critical to document the complex needs of patients being served, as well as to improve scores on performance metrics.
- Health centers must be willing to work together under performance models such as Independent Practice Associations (IPAs).
- It all starts with data. The ability to capture, validate, and respond to data is necessary for effective population management and quality improvement.
The highlight for me was hearing from health centers on the strategies and interventions they are already implementing to operate under existing value-based payment models. My takeaway was that our member health centers are leveraging the resources available through CT-PTN to position themselves well for payment reform and, in many cases, are outperforming their peers in other states. I look forward to continued conversations, involving health center staff and leaders, as well as policymakers.
This Week in Social Media
This Week in Funding Opportunities
This Week in Health Policy News
Here is a sampling of health policy news from around the state. If you see something in your local newspaper that you would like featured here in future weeks, please contact Deb Polun at firstname.lastname@example.org. Check out all the Health Policy News from the past month here!
8.26.18 We-Ha.com — Homeless to Member of the Board: West Hartford Woman Shares Her Struggle to Overcome Opioid Addiction (feat. InterCommunity)
8.26.18 New Haven Register — Student Health Center at Hamden High to Expand Services, Hours (feat. CS-Hill)
8.24.18 Chron — $10M to Better Coordinate Substance Abuse Care (feat. Optimus)
8.24.18 New Haven Independent — LCI Pushed to Charge More to Sell Property (feat. Fair Haven)
8.24.18 CT Viewpoints — An Overdose Outbreak Could Happen in Hartford – And Your Town Too (feat. InterCommunity)
8.22.18 New Haven Independent — What Really Happened on the Green (feat. CS-Hill)
8.23.18 Fairfield County Business Journal — Public Hearing Set for Anthem, ConnectiCare’s Proposed Rate Increases
8.25.18 Modern Healthcare — Payers Can’t Control Costs Without Addressing Social Determinants
8.24.18 Kaiser Health News — Tuition-Free Medical School Touches Off Multi-Million Dollar Debate
8.22.18 Hartford Courant — Yale Research Finds Racial Disparity in Screening of Opioid Patients