Resource Search Results

Finance Training for Board of Directors: Case Study 2 (2019). Resource Type: eLearning. Description: This case study is designed to help increase your confidence related to health center board financial oversight. Most of the content reinforces concepts addressed in the Modules on Board Financial Oversight – but occasionally additional variables are introduced to mimic the complexity of health center finances. More Details...

Finance Training for Board of Directors: Case Study 1 (2019). Resource Type: elearning. Description: This case study is designed to help increase your confidence related to health center board financial oversight. The content in the case reinforces concepts addressed in the Modules on Financial Oversight. More Details...

Policy Options for Improving Dental Coverage for People on Medicare (2019). Resource Type: Publication. Description: The Kaiser Family Foundation just released an “Issue Brief” which identifies several potential approaches for improving dental coverage for Medicare beneficiaries. Included in the options are OPEN’s recommendation to include an extensive dental benefit under Medicare Part B. Also included in the Issue Brief is the work OPEN has been doing to get federal policymakers to expand the types of “medically necessary” dental services that are covered. More Details...

Project Highlight: The Floating Hospital, NY (2019). Resource Type: Publication. Description: This summary describes The Floating Hospital, Inc.’s (TFH) expansion efforts in Long Island City, NY, highlighting the capital project planning, financing, and estimated community impact of a new $7.5 million health center capital facility. More Details...

Project Highlight: Primecare Community Health, IL (2019). Resource Type: Publication. Description: This summary describes PrimeCare Community Health, Inc.’s expansion efforts in Chicago, IL, highlighting the capital project planning, financing, and estimated community impact of a new $8 million health center capital project. More Details...

NACHC Payment Reform Readiness Assessment Tool (2019). Resource Type: Publication. Description: The preparedness assessment is designed to begin the conversation among health center leadership, staff, and key stakeholders/partners about successful engagement in payment reform models. More Details...

Legal Requirements and Issues Concerning Wraparound Payments to FQHCs (2019). Resource Type: Publication. Description: The federal law addressing the Medicaid FQHC PPS contains special provisions regarding payments to FQHCs for services rendered under contract with a Medicaid managed care organization (MCO). In essence, states are required to make payments to FQHCs to cover the difference between amounts paid to the FQHC by a Medicaid managed care organization (MCO) and the FQHC’s PPS rate (if the latter is higher).3 These supplemental payments, which are made directly from the state to the FQHC, are sometimes referred to as “wraparound” payments. This Issue Brief provides an overview of the law relating to wraparound payments to FQHCs, and identifies several current key policy issues relating to FQHCs’ participation in Medicaid managed care. More Details...

Achieving Social Determinants of Health Goals through Capital Expansion (2019). Resource Type: Archived Webinar. Description: The Social Determinants of Health (SDOH) can be a powerful framework to help health centers become an integral part of a community that sets the foundation for health. Health centers are increasingly addressing SDOH through their capital projects, such as co-located health and housing units, community gardens, gyms, and building space for financial counseling. More Details...

Medication-Assisted Treatment (MAT) Frequently Asked Questions: Compliance with HRSA Requirements for Scope of Project, Patient Access and Patient Payments (2019). Resource Type: Publication. Description: In practice, SUD-related services encompass various types of treatments based on the specific addiction disorder. One component is the provision of Medication-Assisted Treatment (MAT) services – a strategy that combines both drug and behavioral therapies to combat substance use disorders, and which may include opioid treatment programs (OTPs) such as Buprenorphine Therapy, non-opioid medication treatments and classes, and various behavioral health therapies. This Frequently Asked Questions (FAQ) document focuses on some of the more common questions related to the application of HCP requirements to the provision of MAT services. In particular, this FAQ addresses questions that often arise regarding the relationship between MAT services and the health center’s overall “scope of project,” patient access within the context of the HCP requirement to offer services to all residents of the service area, and patient payments for MAT services. More Details...

Emerging Issues in FQHC Reimbursement Issue Brief (2019). Resource Type: Publication. Description: This issue brief explains updated emerging issues of the FQHC payment system. The document explains in detail how payment works for FQHCs. More Details...

Defining an Effective Change in Scope (2019). Resource Type: Publication. Description: This document explains the definition of a Medicaid change in scope and why this process is important for payment and care transformation. More Details...

Financing Medical-Legal Partnerships: View From The Field (2019). Resource Type: Publication. Description: To date, over 350 health organizations - including over 120 HRSA funded health centers -have implemented medical-legal partnerships (MLPs). This fact sheet draws on national survey data from these organizations and their partnering legal organizations to describe programs’ average budgets as well as a variety of health, legal, and philanthropic funding streams that currently fund MLPs. It also discusses how MLPs are adapting to meet their funding challenges and highlights examples of programs implementing innovative Medicaid financing models to pay for MLP services. More Details...

Using Financial and Operational Data to Plan for Growth (2019). Resource Type: Archived Webinar. Description: Develop a framework for identifying strengths, challenges, and opportunities for performance improvement in preparation for growth, including best practices from Capital Link's one-on-one work with health centers. More Details...

Medicaid FQHC PPS Checklist (2019). Resource Type: Publication. Description: This resource outlines important information regarding the Medicaid FQHC Prospective Payment System. Federal law requires that State Medicaid agencies pay federally-qualified health centers (FQHCs or “health centers”) using a prospective payment system (PPS). This Medicaid FQHC Prospective Payment System Checklist is designed to assist FQHCs and Primary Care Associations (PCAs) in assessing FQHCs’ PPS rates and in pursuing strategies to make the PPS methodology work better. More Details...

Health Centers as Assets in Their Community: Assessing Your Environment (Market Assessment) (2019). Resource Type: Archived Webinar. Description: This session is designed to provide attendees with a tour of the range of research resources available for health centers to assess market opportunities (many of them are free for all to use). We will review techniques for how to determine the size and location of the low-income, uninsured and under-served population, estimate the level of unmet need, and translate this information into workforce needs and a preliminary capital project budget. More Details...

Looking at PACE...An Opportunity for Community Health Centers (2019). Resource Type: Archived Webinar. Description: Join us to learn more about Program of All-Inclusive Care for the Elderly (PACE) and how to implement a program at your health center to better serve the growing population of patients aged 55 and older with chronic conditions, while supporting their independent living in the community. More Details...

Managing Your Health Center's Cost of Care (2018). Resource Type: Archived Webinar. Description: This session focused on the factors that influence the cost of care, providing information from new resources – a Capital Link study examining four-year trends across a series of cost-focused ratios and an updated NACHC issue brief providing a methodology for calculating costs. More Details...

Cost Per Visit: Measuring Health Center Performance (2018). Resource Type: Publication. Description: Developed by Capital Link and the National Association of Community Health Centers (NACHC) as an update to NACHC’s original 2003 publication,Cost Per Visit – Measuring Health Center Performance, reviews in detail the process and methodology for calculating the component costs of care with a focus on cost per visit across all service lines — medical, dental, mental health (including substance abuse), and vision services. It also examines methods for reducing health center costs through population health management, global payment methodologies, and tying reimbursements to outcomes. More Details...

Medicaid Accountable Care Organizations: A Case Study with Boston HCH Program (2018). Resource Type: Publication. Description: This case study examines how these changes to ACOs will impact BHCHP and other Massachusetts HCH programs—and how these issues might be common to other states implementing (or considering) ACOs as part of their health care delivery redesign. More Details...

Payment Innovation and Health Center Dental Programs: Case Studies from Three States (2018). Resource Type: Publication. Description: As dental care reimbursement follows the trends of healthcare overall towards value-based payment reimbursement, lessons from pioneers in dental payment innovation will inform effective health center strategies that will both strengthen the dental safety network and improve the oral health of the communities they serve. This document outlines interviews from organizations in three states on how health center dental programs are adapting clinical care systems under payment innovation incentives. More Details...