This brief summarizes key challenges faced by the rural ambulatory safety net in delivering primary care and behavioral health services since COVID-19 and the policy changes that have been implemented in response to those challenges. It also offers state-level policy recommendations to improve rural-specific primary care and behavioral health care through sustaining and supporting the movement towards telehealth, addressing social needs, and advancing value-based payment and care.
To provide the best possible care to patients and thrive in new payment environments, community health centers (CHCs) and community behavioral health organizations (CBHOs)— two pillars of the safety net—are redesigning their workflows, infrastructure, and partnerships.
Advancing payment and delivery reform in the ambulatory safety net in rural areas presents unique challenges and will require solutions specific to this context, for both primary care and behavioral health.
To assist health center finance and accounting staff in preparing for the transition to value-based payment and care, the Delta Center, with the help of Capital Link, hosted a series of webinar trainings on Understanding Your Costs in an Evolving Payment Environment. This is the fourth and final webinar in the series.
Beth Waldman, J.D., M.P.H., senior consultant at Bailit Health and former Massachusetts Medicaid director presents the key priorities of Medicaid agencies and their MCOs. Drawing on her extensive experience working with Medicaid programs across the country, she shares strategies on how to best engage with state Medicaid agencies and their MCO partners. Participants gain an understanding of the key priorities of Medicaid agencies and their MCOs and learn how best to engage Medicaid programs and their MCOs.
Megan Haase, FNP, Chief Executive Officer of Mosaic Medical System, shares Mosaic’s experience of participating in multiple payment reform efforts. Mosaic Medical operates a network of Federally Qualified Health Centers throughout Central Oregon, and is a participant in the Central Oregon Coordinated Care Organization (CCO). Mosaic also shares lessons learned for health centers in other states that are pursuing APM-type base payment reforms. Participants hear about changes Mosaic has made as a result of participating in three-layered payment model for Medicaid patients, and its results for patient care.
Hear from Jaeson Fournier, Chief Executive Officer of CommUnityCare Health Center network in Texas, and former CEO of the Federally Qualified Health Center Urban Health Network (FUHN), a health center coalition-led ACO in the Twin Cities area. FUHN brought together a group of health centers in a Medicaid ACO, built a robust data analytics infrastructure with the aid of a health services data management firm, created valuable delivery system improvements, and generated millions of dollars in shared savings.
Speakers from Oakland Community Health Network, the public community mental health center and public Medicaid specialty health plan for Oakland County, Michigan, share their experience of utilizing an outcomes-based payment model for behavioral health services. OCHN also shares lessons learned for community mental health centers in other states that are pursuing similar types of payment models.