Under the agreement, revenue is based on whether the partnering organizations meet shared health care goals and cost-reduction targets.
“We are transforming the health system to achieve better health at lower costs,” said Janice E. Nevin, M.D., MPH, president and CEO of Christiana Care. “This value-based care agreement is an incredibly important step that empowers our caregivers to focus on providing the right care, at the right place and time for our Medicaid beneficiaries.”
Christiana Care says the payment model will allow the system to explore health interventions not covered under a fee-for-service model, including:
- Partnering with housing agencies to support transitional housing for homeless patients with complex chronic conditions. Housing allows for improved ability to consistently treat their chronic conditions and support health.
- Providing nutritious food to chronically ill patients who live in neighborhoods without access to supermarkets or other sources of fresh fruits and vegetables. Adequate nutrition is a foundational aspect of good health.
This model allows a health system to partner with one of the state’s contracted Medicaid managed care organizations in a total-cost-of-care arrangement. Christiana Care and AmeriHealth Caritas Delaware have agreed to share accountability for the total cost of providing health care services to Medicaid members being cared for by Christiana Care providers.