Coffee and Contracts: Vetting Contracts- Drafting, Reviewing, and Negotiating Social Care Contracts

We may have taken July off, but we are back on track with our monthly peer-learning opportunity, Coffee and Contracts: A Social Needs Contracting Community of Practice.

The Partnership to Align Social Care and Camden Coalition hosted our seventh Coffee and Contracts session that focused on the process of vetting social care contracts from a CCH perspective. Ester Sefilyan, VP Network Services, and Anne Ly, MPH, Senior Director of Network Contracts & Systems Management, at Partners in Care Foundation discussed how their organization uses contract templates, the relationship between the CCH operations staff and the contracting officer, and how their team works with outside legal counsel. Participants broke into groups for facilitated discussions to learn from their peers about vetting social care contracts.

Link to recording

Meeting Slides (PDF)

Resource: Partners in Care Foundation Contract Terms worksheet (pdf)

Meeting summary and notes (pending)

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Webinar: CY 2025 Medicare Physician Fee Schedule Proposed Rule

Did you miss out on an important conversation about what the CY 2025 Medicare Physician Fee Schedule Proposed Rule could mean for addressing HRSNs?

The Partnership to Align Social Care hosted a webinar, What Does the CY 2025 Medicare Physician Fee Schedule Proposed Rule Mean for Addressing HRSNs? on Tuesday, July 30.

Attendees heard an overview and discussion of these updates and learned about relevant CMS requests for information, and additional opportunities to inform the public comment process. CBOs and community care hubs, health plans, health systems, Federally Qualified and Rural Health Centers (FQHCs and RHCs), other healthcare providers, and caregiver advocate attendees learned about how the proposed coding and payment changes could impact efforts to align health and social care ecosystems.

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Coffee and Contracts: Data Security, Compliance, and Quality Improvement

The Partnership to Align Social Care and Camden Coalition for our sixth session of Coffee and Contracts: A Social Needs Contracting Community of Practice on Tuesday, June 11.

This session focused on the intersection of data security, compliance, and quality improvement from a Community Care Hub perspective. Abigail Morgan, President & CEO of Direction Home Akron Canton Area Agency on Aging & Disabilities, discussed the milestones in her organization's journey to develop their data security infrastructure and shared lessons learned. Participants broke out into groups for facilitated discussions to learn from their peers about data security experiences and opportunities.

Link to recording

Meeting Slides (PDF)

Meeting Summary and Notes (PDF)

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Coffee and Contracts: Data Sharing and IT

The Partnership to Align Social Care and Camden Coalition hosted our fifth session of Coffee and Contracts: A Social Needs Contracting Community of Practice on Tuesday, May 14.

The session focused on data sharing experiences from health plan, CBO, and CCH partnerships. Jolene Tanner, Senior Director of Health and Social Programs at United Healthcare, and Amy Fynmore, Housing and Health Program Manager at United Health Group, provided an overview of various data sharing arrangements including through community investment and direct vendor relationships. Attendees also had the opportunity to break into moderated group discussions with their peers.

Link to Recording

Meeting Slides (PDF)

Meeting Summary and Notes (PDF)

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Coffee and Contracts: What to Expect from Negotiations with Health Care Partners

The Partnership to Align Social Care hosted our fourth session of Coffee and Contracts: A Social Needs Contracting Community of Practice on Tuesday, April 9

This session focused on what to expect from negotiations with a health plan when developing a contracted partnership. Nikki Kmicinski, Executive Director at Western New York Integrated Care Collaborative, Inc., shared her experiences in negotiating with healthcare organizations and discussed strategies to achieve a mutually beneficial contract for both parties. Attendees also had the opportunity to break into moderated group discussions with their peers.

Link to Recording

Meeting slides (PDF)

Meeting Summary and Notes

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Lunch and Learn Event

Understanding the Medicare Physician Fee Schedule Billing Codes for Community Health Integration (CHI), Principal Illness Navigation (PIN), and Principal Illness Navigation - Peer Support (PIN-PS) Services.

The Partnership to Align Social Care hosted a lunch and learn event on April 3, which was the first in a series of upcoming resources, A Primer: Understanding the Medicare Physician Fee Schedule Billing Codes for Community Health Integration (CHI), Principal Illness Navigation (PIN), and Principal Illness Navigation - Peer Support (PIN-PS) Services.

This webinar aimed to build upon previous Partnership events detailing opportunities to address HRSNs through fee-for-service Medicare. Attendees will have an opportunity to ask questions to help inform planning for, and implementation of, CHI and PIN services.

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CY24 Social Needs HCPCS and Aligned Gravity Intervention Terminology

Gravity Project and the Partnership to Align Social Care hosted the March Implementation Affinity Group highlighting “CY24 Social Needs HCPCS and Aligned Gravity Intervention Terminology” on March 28th.

This month’s Gravity Implementation Affinity Group featured Timothy McNeill, RN, MPH from the Partnership to discuss the new calendar year 2024 social needs HCPCS codes. Implementers learned how Gravity SNOMED-CT intervention codes align with and support additional documentation aligned with regulatory and policy drivers.

Thank you to Civitas Networks for Health for your support of the Gravity Implementation Affinity Group meetings.

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Join Us for a Monthly Peer-Learning Session, Coffee and Contracts!

Join Partnership to Align Social Care and Camden Coalition on the second Tuesday of each month at 12 p.m. ET for Coffee and Contracts: A Social Needs Contracting Community of Practice.

Join the Partnership to Align Social Care and Camden Coalition for a monthly peer learning series that provides an opportunity for presenters and participants to go deeper into specific topics related to contracting between CBOs/CCHs and healthcare organizations.

Sessions will allow participants to:

  • Participate in peer-to-peer learning about contracting between CBOs, CCHs, and healthcare organizations;
  • Learn about and engage with stakeholders and leaders of the Partnership to Align Social Care;
  • Find opportunities to support new CCHs and get involved in ongoing national initiatives;
    Generate new learning which can be packaged into future resources and leading practices.

Register for the series and learn more at www.partnership2asc.org/coffee-and-contracts!

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Recording & Materials Available for Call-to-Action Webinar

Learn how leaders in health care, social services, public health, and health information technology are working together to address health-related social needs (HRSNs) and create a stronger, more integrated health and social care system through shared decision making.

The recording and materials are available for the February 27, 2024 Partnership to Align Social Care event, Meeting the Administration’s Call-to-Action: Leading Practices to Address Health-Related Social Needs in Communities Across the Nation, featuring a discussion with officials from the U.S. Department of Health and Human Services (HHS) and key community and health care leaders on opportunities to address health-related social needs (HRSNs) through community partnerships.

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Check Out the Partnership’s Healthcare Guide to Contracting with CBOs

Healthcare Guide to Contracting with CBOs is a toolkit intended to address essential elements of contracting between health care and community partners and feature leading practices from the field and was developed with extensive input from CBOs, health plans, and health systems. While these resources were developed for a healthcare audience, CBOs, CCHs, and other health and social care ecosystem stakeholders will benefit from understanding how healthcare organizations approach the contracting process.

Healthcare entities and social services providers are increasingly recognizing the importance of partnerships among historically siloed sectors to address health-related social needs (HRSNs). While the number of community-based organizations (CBOs) and community care hubs (CCHs) pursuing contracting relationships with healthcare organizations is increasing, CBOs and CCHs can experience challenges entering into contracting arrangements with the healthcare sector.

The Partnership to Align Social Care, the Aging and Disability Business Institute, and Camden Coalition created a Healthcare Guide to Contracting with CBOsThis toolkit offers a deep dive into leading contracting practices to effectively and efficiently address HRSNs. Each module focuses on the essential elements of contracting between health care and community partners and features leading practices from the field.

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Join the Partnership for Contracting to Align Health and Social Care Ecosystems: A Webinar Series Sharing Leading Practices

Each webinar in the series will focus on the essential elements of contracting between health care and community partners and feature leading practices from the field.

Healthcare entities and social services providers are increasingly recognizing the importance of partnerships among historically siloed sectors to address health-related social needs (HRSNs). While the number of community-based organizations (CBOs) and community care hubs (CCHs) pursuing contracting relationships with healthcare organizations is increasing, CBOs and CCHs can experience challenges entering into contracting arrangements with the healthcare sector.

Join the Partnership to Align Social Care, the Aging and Disability Business Institute, and Camden Coalition for a webinar series offering a deep dive into leading contracting practices to effectively and efficiently address HRSNs. In each webinar, we will focus on the essential elements of contracting between health care and community partners and feature leading practices from the field. Each event will also highlight key findings from a four-part toolkit, Healthcare Guide to Contracting with CBOs, developed with extensive input from CBOs, health plans, and health systems. While these resources were developed for a healthcare audience, CBOs, CCHs, and other health and social care ecosystem stakeholders will benefit from understanding how healthcare organizations approach the contracting process.

Attendees will gain:

  • Guidance on designing a payment structure/model that aligns contracting parties around shared goals and produces value for each party (Oct. 10 @ 2 ET);
  • Recommendations on how to develop an effective Scope of Work, based on insights from healthcare organizations and CBOs with extensive cross-sector contracting experience (Nov. 14 @ Noon ET);
  • Insight on how payers can improve collaboration with CBOs and strategies to anticipate, avoid, and respond to common challenges that arise when CBOs, CCHs, and payers set out to work together (Dec. 12 @ Noon ET); and
  • Perspective from CBO and healthcare leaders highlighting leading practices from community and health care partners that have effectively contracted to address HRSNs for multiple populations.

Registrants will receive access to all three webinars. All registrants will receive the recordings and follow-up resources. Register here: https://us06web.zoom.us/webinar/register/WN_GInAyGusSbSsqe0985JjAA

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Join the Partnership for a Webinar Series, Community Care Hubs: Making Social Care Happen

What is a Community Care Hub? Why is this model part of an important evolution toward achieving an equitable health and social care ecosystem? Join the Partnership and health and social care sector leaders for an upcoming webinar series to dive into these topics.

The Partnership to Align Social Care is a cross-sector effort to co-design a multi-faceted strategy to enable successful partnerships between healthcare organizations and networks of CBOs, or Community Care Hubs (CCHs). 

But, what is a Community Care Hub? Why is this model part of an important evolution toward achieving an equitable health and social care ecosystem? The Partnership and health and social care sector leaders recently hosted a series of webinars that dive into these and other important topics. All recordings and presentations are available from those events, and we encourage you to catch up and share this information with interested colleagues!

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The Partnership and Manatt Health Launch Playbook for State Medicaid Agencies Seeking to Partner with CBO Hubs

Research demonstrates personal behaviors, physical environments and socioeconomic factors—commonly referred to as the social drivers of health (SDOH)—are responsible for 80 percent of health outcomes. Individuals enrolled in Medicaid experience disproportionate rates of complex health and social needs. As such, state Medicaid agencies are increasingly looking beyond the health care system for solutions to improve health outcomes and achieve value.

A new one-of-a-kind resource—prepared by Manatt Health in collaboration with the Partnership to Align Social Care, and with support from The SCAN Foundation—intends to help state Medicaid agencies seeking to partner with CBO networks and Community Care Hubs in the design and implementation of SDOH initiatives.

Working with Community Care Hubs to Address Social Drivers of Health: A Playbook for State Medicaid Agencies aims to help state Medicaid leaders and other stakeholders:

  • Identify opportunities for state Medicaid agencies to partner with networks of community-based organizations (CBOs) and Community Care Hubs (CCHs) to address SDOH;
  • Introduce state Medicaid leaders to the key functions of CCHs, and provide practical advice on how state Medicaid agencies can collaborate with CCHs;
  • Highlight strategies to overcome existing challenges around establishing and building sustainable relationships between CBOs and health care organizations; and
  • Feature practical examples, tips and links to materials used to support SDOH and CCH efforts in communities across the country.

View the full Playbook

Read the Executive Summary

Watch the Playbook webinar and download slides

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Partnership Leaders Featured on Bright Spots in Healthcare Podcast

On October 20, Partnership Co-Chairs June Simmons and Tim McNeill, along with health plan and system industry leaders, joined the Bright Spots in Healthcare Podcast to discuss the value of co-designing health and social care.

During the conversation, Partnership Co-Chairs and healthcare thought leaders discussing integrating social care into healthcare delivery and the need for the organized delivery of social care services along with care coordination through a multi-stakeholder health and social care ecosystem, as part of a whole-person approach to health.

The full video recording is available on YouTube: https://www.youtube.com/watch?v=LInsgUc8wxM&t=21s

Featured Panelists and Partnership to Align Social Care Members:

  • Sherry Novick, Community Health Lead, Social Health Practice, Kaiser Permanente
  • Ji Im, Senior Director for Community and Population Health, CommonSpirit Health
  • June Simmons, CEO and President, Partners in Care Foundation
  • Tim McNeill, COO, Freedmen’s Health
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