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HomeHealthcareD.C. Supplier Community, Amerigroup DC Take Worth-Primarily based Method to Medicaid

D.C. Supplier Community, Amerigroup DC Take Worth-Primarily based Method to Medicaid

The DC Linked Care Community (DC CCN) is a clinically built-in community that features seven Washington, D.C.-based neighborhood well being facilities and the DC Major Care Affiliation (DCPCA). Its new collaboration with Amerigroup DC is the primary value-based settlement with a Medicaid managed care supplier within the nation’s capital. 

Amerigroup DC is a wholly-owned subsidiary of Elevance Well being. This three-year collaboration is the primary of its sort within the District and is designed to transcend conventional healthcare fashions, prioritize affected person outcomes, and set a brand new, increased customary for healthcare supply throughout the area.

The DC CCN consists of the DCPCA and 7 Federally Certified Well being Facilities (FQHCs): Bread for the Metropolis, Group of Hope, Household Medical Counseling Providers, La Clinica del Pueblo, Mary’s Heart, Unity Well being Care, and Whitman-Walker Well being. The community’s mission is centered on attaining measurable influence by means of focused initiatives designed to lower low-acuity, non-emergent (LANE) emergency room visits, scale back avoidable hospitalizations, and decrease preventable hospital readmissions.

Below this new settlement, Amerigroup and DC CCN are altering the construction of healthcare funds to be primarily based on the standard and effectiveness of care moderately than the amount of companies delivered. The settlement features a dedication to share monetary threat, encouraging FQHCs to work collaboratively in direction of attaining high quality measures and bettering well being outcomes for Medicaid enrollees.

“Our new VBA [value-based agreement] transcends standard healthcare fashions by incentivizing what really issues—the well being and well-being of the neighborhood. This collaboration is a testomony to our unwavering dedication to delivering holistic, high quality care to residents throughout your entire District,” stated Maislyn Christie, M.D., M.B.A., medical director of Amerigroup DC, in a press release. 

“Collectively, we’re constructing a more healthy future for Washington, D.C., standing as a beacon of innovation and dedication within the ever-evolving healthcare sector,” stated Ruth Pollard, M.B.A., M.S., government director of the DC Linked Care Community, in a press release. 

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