Identify and engage your VBP team

Implementing VBP involves different facets of payer and provider entity operations. For example, you need a robust quality program associated with the payment model and technical details of administering the payment model must be clearly understood and addressed.

Establish a multidisciplinary team appropriate to your provider entity’s size and scope with responsibility for managing VBP implementation and ongoing operations, and for engaging staff and clinicians in the work. Consider outside resources for support and technical assistance, including payer partners, provider associations and consultants.

For larger providers, the VBP team might include:

• Senior leaders who have decision-making responsibilities;
• Contracting staff who will negotiate the final details of a contract;
• Clinical staff;
• Quality management staff who help develop a quality strategy and discuss measurement with providers;
• Analytical and/or financial staff who can interpret data the plan might share with providers;
• Business, finance, and project management staff who can manage the internal operations of VBP implementation, including monitoring the fiscal impact; and
• Provider and payer staff who may serve as VBP champions to address questions regarding the payment model being proposed.

Small practices often rely on shared resources such as through an IPA, but also working with outside TA supports such as consultants. Many small practices need outside help with their EHRs for quality reporting and VBP success. Some successful providers have added a panel manager who reviews rosters, helps onboard new patients (when assigned), and coordinates with other staff responsible for outreach and recalls. These clinics also have a population health or quality committee that meets monthly.