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Valuated Pharmaceutical
Contracting
Data Submission Manual
10 CCR 25055
August 20241Table of Contents
1. Introduction
2. Why Collect Data Related to Valuated Pharmaceutical Contracting (BPC)?
3. File
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What is value-based contracting in healthcare?
Value-based contracting in healthcare is a payment model that incentivizes providers to deliver high-quality care by linking reimbursement rates to the patient outcomes and quality of services provided, rather than the volume of services rendered.
Who is required to file value-based contracting in healthcare?
Typically, healthcare providers, payers, and organizations engaged in value-based care initiatives are required to file value-based contracting information, especially if they are involved in government programs or commercial contracts emphasizing value-based care.
How to fill out value-based contracting in healthcare?
To fill out value-based contracting in healthcare, organizations must gather relevant data on patient outcomes, quality measures, and financial performance, followed by completing the necessary forms and submissions as stipulated by regulatory bodies or contracts.
What is the purpose of value-based contracting in healthcare?
The purpose of value-based contracting in healthcare is to improve patient care by aligning the interests of providers and payers, rewarding healthcare entities for achieving better health outcomes, efficiency, and patient satisfaction.
What information must be reported on value-based contracting in healthcare?
Information required to be reported includes metrics on patient outcomes, quality measures, cost analysis, service utilization rates, and other performance indicators that demonstrate the effectiveness of care delivery.
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