Upstate Community Health Collaborative IPA (Fiscal Sponsor: Northern Oswego County Health Services, Inc.)
Advancing Primary Care
December 2015 -- November 2017
The shift from fee-for-service to value-based payment models means federally qualified health centers (FQHCs) must adapt.
For FQHCs to remain economically viable and continue delivering care to medically underserved areas, they need to develop and implement different strategies to keep their doors open. However, because of limited resources and influence, many FQHCs find themselves at a disadvantage, especially when it comes to negotiating terms with payers.
Four FQHCs in Central New York—spanning 14 delivery sites and operating 32 school-based health centers—set out to establish the Upstate Community Health Collaborative Independent Provider Association (UCHC IPA). The formation of an IPA would allow providers to negotiate contracts with insurance companies, exerting greater influence on behalf of its members and potentially spreading risk.
NYSHealth awarded Northern Oswego County Health Services, Inc., as fiscal sponsor to UCHC IPA, a grant to support the implementation of a business plan and offset some of the associated first-year ramp-up costs to form an IPA.