가치 기반 구매(VBP)

It is always the goal of Carelon to assist our members in achieving the best possible chance at recovery. One of the ways we do this is by collaborating with providers and appropriately rewarding them for delivering high quality and cost efficient care to Carelon members. Over the last several years, Pennsylvania’s Department of Human Services (DHS) has prompted Behavioral Health Managed Care Organizations (BH-MCOs) to move away from traditional fee-for-service reimbursement models that reward providers for quantity of services over quality of care and enter into value based payment (VBP) arrangements that will improve patient outcomes and lower the cost of care. Carelon has continued to support its network providers with this transition while implementing the state’s VBP initiatives. As a provider, you may already participate in a VBP program Carelon offers or will have the opportunity to join one in the future. To ensure that all providers participating in a VBP model have the necessary tools to succeed in these programs, Carelon delivers education, data and the support of dedicated staff, and also enables providers to share best practices.

To Participate In One Of Carelon’s Value Based Purchasing Programs Or Receive Additional Information

  • 결제 혁신 관리자인 Napali Bridgelall에게 문의하십시오. Napali.Bridgelall@carelon.com. 제공자 품질 관리 프로그램에 대한 질문은 임상 프로그램/제공자 품질 부국장인 Laura Karoffa에게 다음 주소로 문의하십시오. Laura.Karoffa@carelon.com. 제공자 관계에 대한 일반적인 질문은 제공자 관계 이사인 Lisa Ciccarelli에게 다음 주소로 문의하십시오. Lisa.Ciccarelli@carelon.com.

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Carelon Health Of Pennsylvania Resources