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Quality Measures for the I/DD and MLTSS Communities

Break Through Value Based Payments Quality Measures for the I/DD and MLTSS Communities THE VBP Blog In our last blog we anticipated breaking down the current state models for I/DD communities. However, we attended the Rehabilitation and Community Providers Association (RCPA) conference and presented to the MAX Group, where we learned that many providers aren’t as attuned to the quality measures available in this area. So, acting on the counsel from many of you, we adjusted course, flexed a little and decided to spend a little time sharing the state of measures of quality being developed and used in this area. Once we have covered this fully, we’ll return to our discussion of state models. Our Advocate’s Perspective may surprise… Read More »Quality Measures for the I/DD and MLTSS Communities

Lower Risk and Reward with Sub-Capitation

THE VBP Blog One of the greatest areas of concern when we discuss capitation, is that it is “all or nothing.” However, that is not the case. In the development of Value Based Payments, there are ample opportunities to incorporate partial capitation, for specific services, events/episodes, and even treatments. As value-based options continue to take on more risk, we find ourselves looking at every alternative option. Capitation, as we covered in the last blog, has many potential positives for the consumer, physician, and managed care organizations (MCO). Full capitation can be a hard sell for some doctors as they want some flexibility as they create innovative ways to treat patients. That lands us squarely on sub capitation (aka partial capitation)… Read More »Lower Risk and Reward with Sub-Capitation