Value Based Toolkit for Primary Care Providers

This toolkit explains Alternative Payment Models (APMs) and management approaches for specific populations to improve revenue and financial success in the Merit-Based Incentive Payment System (MIPS), Medicare Advantage, Medicaid, and commercial insurance contracts. The toolkit consists of a 2-part recorded webinar, slide deck, and dozens of downloadable examples, tools, and templates to optimize practice performance on APMs, or increase fee-for-service (FFS) revenue without compromising APM contract performance.  The first webinar explains effective options for financial success in primary care practice, and the second webinar describes how to choose what will work best for your practice.

 

 

Self-Management Action Plans

These Self-Management Action Plans are intended to manage for quality improvement and cost savings.

 

Advance Care Planning

These tools on Advanced Directives and Advance Care Planning are intended to manage for quality improvement and cost savings

 

 

Annual Wellness Visit

These tools on Advanced Directives and Advance Care Planning are intended to:

  • Improve FFS revenue in alignment with APM goals, and/or
  • Manage for quality improvement and cost savings.

 

 

Chronic Care Management

These tools on Chronic Care Management are intended to:

  • Improve FFS revenue in alignment with APM goals, and/or
  • Manage for quality improvement and cost savings.

 

 

Collaborative Care Agreement

These tools on Collaborative Care Agreements are intended to manage for quality improvement and cost savings.

 

 

IPPE-Welcome to Medicare

These tools on the IPPE (Initial Preventive Physical Exam) also known as the Welcome to Medicare Visit are intended to:

  • Improve FFS revenue in alignment with APM goals, and/or
  • Manage for quality improvement and cost savings.

 

 

Measures

These tools for Measures are intended to help practices:

  • Improve FFS revenue in alignment with APM goals, and/or
  • Manage for quality improvement and cost savings, and/or
  • Measure performance. 

 

 

Medicaid

These tools on the Washington Medicaid Program are intended to:

  • Improve FFS revenue in alignment with APM goals, and/or
  • Manage for quality improvement and cost savings.

 

 

QRUR 2016

These tools on Medicare’s Transitional Care Management Services are intended to:

  • Improve FFS revenue in alignment with APM goals, and/or
  • Manage for quality improvement and cost savings.

 

 

Transitions of Care

These tools on Medicare’s Transitional Care Management Services are intended to:

  • Improve FFS revenue in alignment with APM goals, and/or
  • Manage for quality improvement and cost savings.