1. Payment Reform In California The Next Era for Health Center Care Delivery Is Coming Health Care Symposium April 1, 2016
Ralph Silber
Executive Director, Alameda Health Consortium
CEO, Community Health Center Network

2. Community Health Center Network (CHCN)
CHCN is an IPA/MSO, contracting with the 2 Medi-Cal managed care plans in Alameda County with 134,000 managed care members.
Member Health Centers:
Asian Health Services
Axis Community Health
La Clínica
LifeLong Medical Care
Native America Health Center
Tiburcio Vasquez Health Center
Tri-City Health Center
West Oakland Health Council

3. Opportunities Enhancing alignment with CHC mission.
Improving access to care, quality of care, and health outcomes.
Addressing workforce challenges.
Strengthening our position in the health care system and marketplace.

4. Challenges Change is hard Data, data, data Financial risk
Its complicated
Need for Investment Funds

5. Which Members Will Be In The APM Pilot ?
Pilot will involve only Medi-Cal Managed care members assigned to the CHC site in the pilots
Excluded:
Dual Eligibles
Emergency/Pregnancy Only
Managed Care Patients Not Assigned to the Site
Medi-Cal Expansion members may or may not be in the pilot; stay tuned

6. Important Questions
Do you know who your assigned members are, by site & by eligibility category?
What percentage of your visits/patients at your site will be in the pilot?

7. Living in a Fee-For-Service World While We Are Preparing to Transition to a Value-Based World
Behavioral Care
Case Management
Addressing Social Determinants
Population Health: Patients vs. Members
Improving HEDIS Scores
Alternative Touches