Amerigroup DC and the DC Connected Care Network (DC CCN) are proud to announce a joint, innovative healthcare endeavor that establishes DC CCN’s first Value-Based Agreement (VBA) with a Medicaid managed care provider in Washington, D.C. This three-year collaboration is the first of its kind in the District and is designed to transcend traditional healthcare models, prioritize patient outcomes, and set a new, higher standard for healthcare delivery across the region.

The DC CCN consists of the DC Primary Care Association (DCPCA) and seven essential Federally Qualified Health Centers (FQHCs) that are crucial to this agreement—Bread for the City, Community of Hope, Family Medical Counseling Services, La Clinica del Pueblo, Mary’s Center, Unity Health Care, and Whitman-Walker Health. In partnership with Amerigroup, these FQHCs aim to enhance care access and build upon a foundation of equitable healthcare designed to empower all residents, particularly the underserved and vulnerable populations.

A VBA links healthcare payments to patient outcomes rather than the volume of services provided, promoting a comprehensive and patient-centered approach to care. It encourages long-term health benefits through effective treatments and advanced data collection and analysis, delivering tangible benefits for patients while offering aligned incentives for providers’ outcomes. The agreement also includes a commitment to share financial risk, encouraging FQHCs to work collaboratively towards achieving quality measures and improving health outcomes for Medicaid enrollees.

Transformative Impact on Healthcare

Under this new agreement, Amerigroup and DC CCN are changing the structure of healthcare payments to be based on the quality and effectiveness of care rather than the volume of services delivered. This approach fosters a patient-centric system that aims to enhance health outcomes for Amerigroup Medicaid enrollees and supports financial sustainability among District healthcare providers.

Dr. Maislyn Christie, Medical Director of Amerigroup DC, highlights this innovation by stating, “Our new VBA transcends conventional healthcare models by incentivizing what truly matters—the health and well-being of the community. This collaboration is a testament to our unwavering commitment to delivering holistic, quality care to residents across the entire District.”

Key Benefits and Focus of Value Based Care

• Enhanced Quality of Care: The initiative champions preventative care and chronic disease management to nurture long-term patient health and well-being.
• Cost Efficiency: By improving resource utilization and focusing on value, the agreement aims to reduce unnecessary healthcare expenditures.
• Equitable Care: Emphasizing inclusivity, the partnership addresses health disparities by ensuring equitable access to care for all residents, particularly those most in need.
• Data-Driven Insights: Advanced data collection and analysis identify care improvement opportunities and ensure decisions are informed and effective.
• Community Empowerment: As a clinically integrated network, DC CCN enhances engagement among Amerigroup members, empowering them to take active control of their healthcare journeys.

Alignment with DC's Healthcare Vision

By aligning with the District's goals for a cohesive health system, this partnership not only enhances care delivery but also serves as a national model for how VBAs can transform the healthcare landscape. Amerigroup and DC CCN are committed to leveraging their combined strengths to inspire confidence and instill trust across all of DC’s communities.

“Together, we are building a healthier future for Washington, D.C., standing as a beacon of innovation and commitment in the ever-evolving healthcare sector,” said Ruth Pollard, Executive Director of the DC Connected Care Network.

ABOUT AMERIGROUP DC

Amerigroup DC, Inc. is a wholly-owned subsidiary of Elevance Health, Inc. Through a family of affiliated companies throughout the U.S., Amerigroup provides managed care services to millions of beneficiaries participating in state Medicaid, CHIP, Medicare, and Long-Term Services and Supports programs. Amerigroup understands that health care access and access to health care are necessary as they lead to sustaining mental and physical well-being. This is why Amerigroup DC offers a wide range of benefits for its members including transportation to interviews and medical appointments, maternity care, home health care, 24-hour Nurse HelpLine as well as a host of other vital benefits. For more information about Amerigroup DC, visit www.myamerigroup.com/dc.

ABOUT DC CONNECTED CARE NETWORK

The DC Connected Care Network (DC CCN) is a clinically integrated network established through the collaboration of seven Washington, DC-based community health centers and the DC Primary Care Association (DCPCA). Committed to transforming healthcare delivery, the DC CCN works to enhance care quality, improve patient outcomes, and reduce overall healthcare costs. The Network's mission is centered on achieving measurable impact through targeted initiatives designed to decrease low-acuity, non-emergent (LANE) emergency room visits, reduce avoidable hospitalizations, and minimize preventable hospital readmissions. By fostering collective collaboration, utilizing data-driven strategy, and implementing evidence-based practices, the DC Connected Care Network is dedicated to ensuring accessible, high-quality care for all District of Columbia residents and visitors. To learn more, please visit www.dcpca.org/programs/connected-care-network.

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