Two new resources are available for community-based organizations to help with business planning and contracting with health care organizations and payers.
“Fundamentals of Community-Based Managed Care: A Field Guide” from the American Society on Aging is the second in a series of three issues of the publication Generations to focus on how best to build and preserve community-based organization (CBO) partnerships with the healthcare sector, in the interest of helping CBOs survive in the new financial climate, and for addressing the Triple Aim of improving care, improving population health, and reducing costs. This issue also addresses the social determinants of health and the role they play in aging in the community.
A resource guide on pricing from the Aging and Disability Business Institute explores financial contracting and provides guidance to community-based organizations on how to build competitive pricing models for contracting with health care payers. The pricing guide also explains the differences between common types of payment arrangements such as Per Member Per-month (PMPM), per episode, and capitation.
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Learn more about ACL's Business Acumen Initiative to help states and community-based organizations build networks and respond to delivery system changes, including technical assistance, building business capacity for successful contracting with integrated care entities, and developing pathways to sustainability.