Group Health Facilities of Greater Dayton (CHCGD) is a nonprofit organization founded in 2007 by means of a collaboration between local hospital systems and Public Health-Dayton & Montgomery County. There are additionally examples of community well being centers leveraging contracting capabilities without relinquishing community-degree boards, by network models or well being-middle-led independent apply associations. This approach supplies health facilities with various contracting advantages, allowing them to learn from the hospital’s size and clout in contract negotiations.
For instance, the Community Health Middle Community, an unbiased follow association in Alameda County, California, accepts skilled capitation contracts from payers, despite the fact that the group is made up of eight autonomous well being center organizations. An alternative choice is for neighborhood health centers to affiliate with a appropriate hospital accomplice that will play the dominant role in main accountable care efforts. Partnering with a larger hospital additionally permits health centers to cut back the administrative burdens associated with danger-primarily based contracting.
It is crucial for neighborhood well being centers to decide on their hospital companions fastidiously to make sure that each entities have an aligned mission and mutual belief built on historical relationships. In Massachusetts, the South Finish Neighborhood Health Middle and numerous different centers are partnering with Boston Medical Center to type an accountable care organization. While still an emerging concept, these coalitions present community well being centers with the chance to participate in accountable care whereas furthering their mission of prevention and inhabitants-based well being approaches within the broader community.
This structure allows well being facilities to take part in accountable care without being dominated by either a hospital or a well being plan. One early example could be discovered in the Central Oregon Health Council located in Bend, Oregon — a group coalition that predated the state’s Coordinated Care Organizations, however has since turn out to be the governing board for the Central Oregon Coordinated Care Group.
Group health centers are playing, and should continue to play, a leadership role within the evolution of accountable care strategies in Medicaid. While many well being facilities could view the prospect of relinquishing autonomy as undesirable, the future of worth-based mostly health care within the U.S. could require them to consider affiliations for the purposes of adjusting care delivery, contracting underneath danger, and shaping coverage discussions. Some group health facilities corresponding to AltaMed and East Boston are giant enough to pursue accountable care on their very own.