The New Era of Healthcare: Understanding “Value” and Changing Payment Models
Today’s HC boards must understand how to navigate from fragmented, volume-focused healthcare delivery and reimbursement models to an integrated and value-driven model. Boards must be diligent, self-reflective, and knowledgeable about how changes in payments and services will impact HCs. This session will provide information regarding what value based reimbursement is, why it is needed, what are the implications for HCs, and what the boards’ role is in supporting health centers in this transformation.
- Understand what value based transformation is and why healthcare delivery and reimbursement is changing
- Gain understanding of how value based reimbursement can or will impact HCs and steps HCs need to take to prepare for transformation
- Be knowledgeable of their role in supporting HCs in value based reimbursement / payment reform efforts.
Director, PCA & Network Relations
National Association of Community Health Centers
Jennifer earned her Bachelor of Science degree in Health Care Management from King’s College in Wilkes-Barre, Pennsylvania. For almost 20 years, she has worked in the physician and network relations area of three managed care organizations – Geisinger Health Plan, University of Pittsburgh Medical Center (UPMC) Health Plan, and Cigna-HealthSpring. Jennifer’s experience has been across all product lines including commercial, Medicaid, and Medicare and includes network development, contracting, credentialing, physician incentives, reimbursement, HEDIS, PCMH, and IPA/ACO development. In addition, Jennifer has worked closely with primary care practices to impact costs while increasing quality for their patients.
Ann Loeffler, MSPH, PMP has dedicated her 20-year career to improving access for medically disenfranchised people. In her work with JSI, she assists organizations and agencies with strategic planning, capacity-building, market and data analysis, as well other activities supporting organizational development. She has co-authored several publications and workshops on value based payment for health care organizations across the country as well as the National Association of Community Health Centers and the Health Resources and Services Administration-funded HITEQ Center. A native of Appalachia, she serves as the rural health lead for the Robert Wood Johnson Foundation’s newly established Delta Center for a Thriving Safety Net, the first national center to focus exclusively on transforming payment and care for ambulatory primary care and behavioral health services. Ann received her Bachelor of Science (biomedical policy) from Kenyon College and her Master of Science in Public Health (epidemiology) from the University of Colorado.