1. Presenter Disclosures: Alexandra Lowell, Courtney Kappes, Janelle McLeod, Maureen Hinman & Michael Anderson-Nathe (1) The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months: No relationships to disclose

2. Alexandra Lowell Courtney Kappes Janelle McLeod Maureen Hinman Michael Anderson-Nathe

3. Agenda: Healthcare Transformation and Oregon’s Coordinated Care Organizations Alternative Payment Models (APMs) SBHC Alternative Payment Innovation Project (APIP) Questions and Activities throughout the presentation Objectives: Describe different types of APMs Identify strategies to evaluate your own program’s APM readiness Identify talking points and strategies for communicating with ACOs Describe the process and lessons learned from the SBHC APIP work

4. Health Transformation in Oregon

5. We Can’t Afford This Anymore Since 1930, if Food Had Risen at the Same Rate as Medical Inflation: 1 Dozen Eggs$ 80.20 1 Dozen Oranges$107.90 1 Pound Bananas$ 16.04 1 Pound Coffee (1) $ 64.17 (1) Not Starbucks

6. Source: Oregon Health Authority – Health Transformation webinar, 2014

7. What is a CCO A network of all types of health care providers who have agreed to work together in their local communities for Oregon Health Plan Members (Medicaid); With one budget that grows at a fixed rate for mental, physical and dental care; Accountable for health outcomes of the population they serve; Governed by a partnership of health care providers, community members, and stakeholders who have financial responsibility and are invested in the results.

8. CareOrego n Kaiser Providence Tuality Clackamas County Multnomah County Washington County Mental Health Risk Physical Health Risk Advantage Dental Capitol Dental Family Dental Willamette Dental CareOrego n ODS Dental Managed Dental Kaiser Dental Dental Health Risk Physical Health Plans Other Participating Orgs: OHSU, Legacy, Adventist, Central City Concern Access Dental Mental Health Plans Dental Health Plans Service area: Clackamas, Washington & Multnomah Counties Total Enrollment: 237,000 as of 2/2015

9. Why Alternative Payment Models (APMs)?

10. Key APMs: Primary Care Capitation Pay For Performance Incentives Fee For Specialized Service Braided & Grant Funding

11. Primary Care Capitation Monthly payment received by the health system for each of their members that provides flexibility to deliver care and services in a more cost-effective and patient-centered way.

12. Pay For Performance Incentives Incentive payments based on achieving certain metrics or outcomes

13. Fee For Specialized Service Execute contractual agreements for specific preventive services to be paid for traditionally unfunded services Explore Opportunities to Expand FQHC Scope of Service to include SBHC services

14. Braided & Grant Funding

15. Questions for the audience: What are some of your experiences with alternative payment models? Are there any other models that we have not discussed?

16. Current Oregon APMs CareOregon Pay 4 Performance Incentives Multnomah County Health Dept & Kaiser PM Contract Oregon Health Authority FQHC APM

17. Initiated by the Oregon Primary Care Association in partnership with member FQHCs and the Oregon Health Authority Health centers are given an attributed list of clients that they are responsible for improving health outcomes for Receive a Per-Member-Per-Month payment upfront for each attributed client

18. Oregon Health Authority FQHC APM How are FQHCs held accountable? Clinical Outcomes Telephone Encounters My Chart Encounters Telemedicine Encounter Care Coordination Accessing Community Resources Case Management Exercise class participation Panel Management Outreach Supportive Counseling Group Education Warm hand off Home visit (non-billable) Transportation Assistance

19. 2013 SBHC Legislation HB 2445: Established SBHCs in statute; appropriated funds for SBHC expansion and to incentivize participation in health reform SB 436: Encouraged CCOs to partner with SBHCs

20. SBHC Alternative Payment Innovation Project (APIP) Goals: Improve the effectiveness of the delivery of health services through SBHCs for children who qualify for medical assistance Improve the coordination of the care of patients services by CCOs and SBHCs

21. SBHC APIP Workgroup

22. Activity: Using the sheet provided: Identify the key stakeholders you would need to engage when developing an Alternative Payment Model Make note of any barriers to their participation and possible solutions

23. What is the problem trying to be fixed? How would an APM fix the problem? What is the value of SBHCs? Who is responsible to pay for what? SBHC APIP Key Questions:

24. What is the problem trying to be fixed? How would an APM fix the problem? What is the value of SBHCs? Who is responsible to pay for what?

25. What is the value of SBHCs? Need a defined value statement that is linked to the problem that needs to be fixed Have to be able to show the value of the SBHC to the payor problem What is the problem trying to be fixed? How would an APM fix the problem? What is the value of SBHCs? Who is responsible to pay for what?

26. Activity: For your SBHC program: Identify all the non-reimbursable services your program provides Note if they are measured or not, and if so how they are measured Define the value of your SBHC program In small groups discuss some of the struggles with communicating about SBHC value and the services provided in the new healthcare landscape

28. How does an APM fix the problem? Need to understand SBHC utilization within the larger context of SBHC clients who have Medicaid What is the problem trying to be fixed? How would an APM fix the problem? What is the value of SBHCs? Who is responsible to pay for what?

29. SBHC APIP Utilization Analysis ? Level of Users: Low: 1-2 visits Medium: 3-5 visits Medium-High: 6-9 visits High: 10+ visits

30. Utilization Data Cont’d

31. Who is responsible to pay for what?

32. Who’s responsible to pay for what?

33. Next steps moving forward: ???????????? ??????????????

34. Thank you for your time and attention Any questions?

35. Contact Information: Alexandra Lowell: alexandra.lowell@multco.us Courtney Kappes: courtney.kappes@multco.us Janelle McLeod: JanelleM@co.clackamas.or.us Maureen Hinman: maureen@osbha.org Michael Anderson-Nathe: michael@healthshareoregon.org All APIP materials, including meeting documentation info-graphics and this presentation can be found on the OSHBA website – http://osbha.org/ourwork/alternative-payment-innovation-project