Experiences of a Service Provider: Lessons Learned in Exploring Value-Based Contracts with a Managed Care Insurance Plan
This brief includes a background and description of a technical assistance project, process, and purpose followed by lessons learned and best practices.
As part of their efforts to identify the opportunities and challenges associated with linking payment reform to population health, AcademyHealth contracted with the Green and Health Homes Initiative (GHHI) to provide technical assistance to a large social service organization to explore structuring a risk-based contract with a major local Medicaid managed care plan to provide targeted services to a high cost-high needs population.
This brief outlines the complex undertaking of setting up an advanced value-based purchasing arrangement, emphasizing the importance of balancing many competing interests among partners and their individual development priorities.