State of being AHEAD
What are Baltimore, Pennsylvania, and Vermont
This is one of 3 key components for successful implementation that is addressed by the AHEAD model
What is: Effective communication, adequate financial resources, or robust evaluation mechanisms
This is a value-add to providers in a hospital global budget methodology
What is: Infrastructure investments, Improved predictability and sustainability of revenue, Bonuses for improving health equity / pop health / community health, Shared savings from reductions in low value care utilization
This is one of the three care transformation activities included in Primary Care Ahead
What is Behavioral Health Integration, Improved care management and specialty coordination, or Addressing patient Health-Related Social Needs (HRSN)
Along with states and payers, the participation of THESE entities is necessary to make the AHEAD model function
What are hospitals and other provider organizations
This is one of the 2 models used in Maryland that informed the AHEAD model
What is the Mayland All-Payer Model or the Maryland Total Cost of Care Model
This is one of the challenges that states face when implementing the AHEAD Model
What is: Administrative burden, perverse incentives, need for widespread uptake
This is how much up-front cooperative agreement funding is available to selected states?
$12M
This is the dollar amount of payments made to physicians (per month)
How much is $17pbpm per month, adjusted up to 21 or down to 15
Participating states can implement the AHEAD model at one of these 2 geographical levels
What is state-wide or in a sub-state region
This is a reason why Maryland or Vermont may have had success with such models while other states might not have
What are Long history of value-based payment reforms in these states, political landscape that has buy-in from across the spectrum, some mandatory participation by providers, state rate-setting authority to establish payment rates
This is a potential unintended consequence of the AHEAD Model related to care delivery
What is potential for care restriction to reduce costs
These three types global budgets used in the AHEAD model
What are Medicare FFS, Medicaid Commercial, and MA
This is the name of the payment made to providers
What is Medicare Enhanced Primary Care Payment
Based on historical CMMI models, THESE 3 states are most likely to seamlessly adopt the AHEAD model
What are Vermont, Pennsylvania, and Maryland