Episode 5. Value-Based Care and Enabling Services

Robust, community‐driven outreach models are critical for ensuring access to and utilization of health care services by underserved populations. However, under a traditional structure of payment for health services, many outreach activities and other enabling services are non‐reimbursable. However, over the past decade, there has been a national shift in the ways in which health care is delivered and reimbursed. New service delivery systems and alternative payment models afford health centers the opportunity to provide patient‐centered care in a more flexible manner, including the use of health outreach programs and enabling services provision. 

The guest will review payment reform through focusing on enabling services and highlight possible roles for health center outreach and ES staff in alternative payment models such as shared savings models, and patient centered medical home and evidence‐based primary care delivery models, Medicaid Managed Care Organization (MCOs), Accountable Care Organizations (ACOs), changes in reimbursement codes to capture new data such as Z codes. HOP will give examples of how health centers can leverage outreach and enabling services to earn payment while improving access to care for patients served.   

Season 1, Episode 5: Value-Based Care and Enabling Services

Guest: Kristina Wharton from HOP

Click the link for additional resources on Value-Based Care from Health Outreach Partners.All resources are available and free to PCAs, HCCNs, and health centers.

Learning Objectives: 

• Define “Value‐Based Care” and describe its place in outreach and enabling services. 

• Provide overview and examples of VBC models of relevance to PCA and health center outreach and enabling services staff.