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Capitation Payment Preparedness Program

In May 2016, the Center for Care Innovations (CCI) launched a population health management program as part of a larger effort to prepare California’s Federally Qualified Health Centers (FQHCs) for planned shifts in reimbursement.

The larger effort, known as the Capitation Payment Preparedness Program – also called CP3 – was developed by the California Primary Care Association and the California Health Care Safety Net Institute. Within CP3, CCI designed a program to support FQHC participants with two goals:
  1. Transforming care processes and systems to achieve high-value, quality health care and
  2. Preparing CP3 sites for the care delivery changes needed to be successful in a capitated or value-based payment model.
CCI Program Goals and Activities

VALUE-BASED CARE

Value-based care directly connects how providers are paid for their services with the quality and cost efficiency with which that care is delivered. Value-based care initiatives support the transformation from a payment system based on the quantity of services delivered, to the effectiveness with which care is provided to individual patients and how the health of patient populations is managed.

POPULATION HEALTH MANAGEMENT

In turn, population health management is driven by the use of data to identify and address the health care needs of a defined population. Population health management focuses on providing evidence-based preventive care, addressing gaps in care and effective management of chronic conditions through a focus on team-based care, patient engagement, and effective use of health information technology tools.

SHIFT FROM VOLUME TO VALUE

CCI’s population health program focused on four components designed to support clinics in moving from volume to value:
    1. Team-based care,
    2. Population health management,
    3. Planned care, and
    4. Transforming data into meaningful information to support population health management.
Program activities included four in-person learning sessions, intensive “learning labs” focused on key elements of value-based care, virtual swap meets to exchange resources, site visits, webinars, and coaching. This toolkit consolidates the tools, resources and learnings of the population health program activities to support other health centers in their journey to value-based care. Download the PDF or explore the resources below.
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CP3 Population Health Toolkit

December 19, 2017
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By Meaghan Copeland
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This toolkit consolidates the tools, resources and learnings of CCI’s population health program activities to support other health centers in their journey to value-based care.

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Moving Toward Value-Based Care: Payment Redesign Insights and Reflections

November 14, 2017
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By Kendra Chaikind
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Megan O’Brien shares some insights, reflections, and recommendations that will inform our work moving forward.

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What It Takes To Provide High-Value Health Care

November 12, 2017
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By Kendra Chaikind
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Tammy Fisher explains a framework describing what it takes to support high-value health care in safety net clinics.

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Empanelment Series

November 9, 2017
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By Meaghan Copeland
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CCI’s CP3 program hosted a webinar series on the topic of empanelment.

emotional labor
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Effective Communication Strategies for Strengthening Patient-Clinician Relationships

August 29, 2017
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By Orbit Media
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Dr. Frankel and Dr. Schillinger discuss techniques to uncover and identify patient vulnerabilities and resilience through eliciting patient narratives and developing shared care plans.

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Key Steps and Strategies for Using Data to Improve Care

August 17, 2017
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By Orbit Media
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Boris Kalikstein from Pivotal Moment Consulting, and former CIO and VP of Strategy at Clinica Family Health, discusses key steps for using data and developing tools to improve care.

lightbulb idea
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Turning an ‘Uh-Oh’ into an ‘Ah-Hah’

July 27, 2017
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By Orbit Media
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Program Coordinator Diana Nguyen asks, “When is it appropriate to be discussing patients’ social and cultural experiences during a patient visit vs. collecting the information through a tool? Is it…

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Building a Data-Driven Culture for Population Health Management

July 21, 2017
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By Orbit Media
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SA Kushinka from CCI and Jerry Lassa from DataMatt3rs share a framework and key capabilities for developing strong data processes and systems to improve care.

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Moving Toward Value-Based Care: Lessons Learned from CP3

June 27, 2017
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By Orbit Media
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This webinar discusses the key lessons, impact, challenges, and recommendations from the past year of CCI’s CP3 Population Health Program.

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