4. Develop Methods to Incentivize Service Delivery

BHST Part One: Performance and Value - Based Contracting

This section focuses on the progress and lessons learned in the review of data governance for operational efficiency as well as the review of contracting processes to inform and support incentivizing opportunities.E

Recognizing that data are central to value-based contracting and achieving related strategic and programmatic goals, Mind OC continues to explore requirements of establishing data governance to improve operational efficiency, manage a broad set of data across the network, and drive value for stakeholders and residents of Orange County. Ongoing development of key factors involved in data governance, including the legal and policy framework needed to protect the privacy and security of confidential information continues.

In addition, assessment of existing and similar external contract templates to determine future-state needs was conducted. The research process began with obtaining copies of the campus provider contracts and renewals, conducting an assessment and comparison of service delivery incentive options for similar service metrics between the two contracts, as well as utilization of external program delivery incentive options for opportunities.

• Existing county provider contracts do not allow for incentivizing services • Culture change is needed across stakeholders to even discuss incentives, with alternative terminology often required to begin conversations • Public and commercial health plans practice some provider and/or health plan incentives • Financial incentive at Provider and Office level obtains better results

• Most successful programs support providers through ongoing dissemination of detailed information on the measure and goals with payment models set up for a top-down payment approach.