By participating in CHPA, members have access to various payer contracts and payment models which provide incentives through value-based contracts. We work with all types of payers, including CMS, the State’s Medicaid office, Medicare Advantage plans, Managed Care Organizations, foundations and private entities, and commercial insurance payers. CHPA has extensive contract negotiation and contract management expertise in house. We negotiate primary care capitation, professional capitation, pay for performance and ACO incentive programs, per member per month (PMPM) performance based incentives, and shared savings contracts.
Our staff is able to support your contracting questions and issues, and can advise you on various contracting topics.
Membership in Community Health Provider Alliance also provides non-financial value, including:
- Marketplace Influence: Participating in a high-performing integrated network of comprehensive primary care brings significant interest from Federal, State and Private entities.
- Medicaid: Our ACO aligns CHCs into an integrated network focused on achieving the Triple Aim. This provides Colorado Medicaid with a strategic statewide partner in the Accountable Care Collaborative (ACC) program focused on reducing the total cost of care and integrating physical and behavioral health. Our ACO’s efforts benefit patients, the State, and Regional Care Collaborative Organizations (RCCOs) and Regional Accountable Entities (RAEs)
- Performance Improvement: Through shared data and analytics, our ACO uses comparative peer results to identify improvement opportunities and lessons learned. Our aim is to give our members meaningful and timely reporting to achieve the best possible results and improve the lives of our patients. We perform highly specialized analytics to identify best practices, improve outcomes and performance, and establish partnerships with cost-effective, high-quality mission-aligned specialists, hospital and ancillary providers.