On April 13, 2015, the National Partnership convened the Cross-Community Summit to allow safety net providers to learn from experts and from each other about collaborative strategies to improve the health care delivery system for vulnerable patients. Representatives came from each organization participating in the Atlanta, Cleveland, Denver, and Richmond local safety net collaboratives that have been working with the National Partnership. The Summit included three expert panels highlighting a variety of safety net partnerships around policy change and implementation, and the legal, technological, and financial sustainability considerations for these collaborations.
Goals for this summit were:
- To provide a networking opportunity for members of the National Partnership communities
- To discuss best practices and identify opportunities for further collaboration between federally qualified health centers (FQHC) and hospitals
- To examine current and future policy and healthcare issues that impact safety net providers (e.g., 1115 waivers, Medicaid expansion, payment reform
View the Full Agenda for the Cross-Community Summit
Session 1: The Role of the Safety Net in California’s Move to Value-Based Pay
The California Primary Care Association and the California Association of Public Hospitals are advancing a plan to move the FQHC prospective payment system into the new era of value-based payment. Allison Homewood of the California Primary Care Association (CPCA) and Andie Martinez Patterson of the California Association of Public Hospitals and Health Systems shared their experiences in working together to influence state policy. Ms. Patterson and Ms. Homewood emphasized the importance of involving all stakeholders in the creation and development of state-level Medicaid payment reform initiatives.
Session 2: Considerations for Health Centers and Hospitals in Developing Successful Partnerships
Safety net providers encounter common practical technical and legal hurdles when forming collaborations. Art Jones of Health Management Associates facilitated this panel and spoke about his experience with creating successful collaborations in Chicago. Jacqueline Leifer of Feldesman, Tucker, Leifer, Fidell, LLP discussed legal considerations for FQHC and hospital partnerships such as colocations and referral arrangements. Sarah Mutinsky of Eyman Associates focused on legal concerns for programs designed to assist consumers with premiums or cost-sharing obligations under Marketplace health plans. Finally, Nancy Garret of Hennepin County Medical Center described the development of a data warehouse to enable data sharing for a Medicaid Accountable Care Organization (ACO).
Session 3: Ensuring the Sustainability of Health Center—Hospital Partnerships
Financial resources are indispensable for long-term collaborations. Osula Rushing of Grantmakers in Health and Robin Arnold-Williams of Leavitt Partners addressed strategies for financial sustainability. Ms. Rushing identified current priorities among private foundations that are aligned safety net partnerships, including a focus on supporting equity in the movement towards population health and delivery system transformation. Ms. Arnold-Williams discussed state-level strategies for funding safety net transformation, focusing on Medicaid waivers such as Section 2703 waivers for coordination for chronically ill patients, Delivery System Reform Incentive Payment (DSRIP) waivers, and Medicaid accountable care models.