Cost

"This document provides guidance to CCBHCs on how to use the Certified Community Behavioral Health Clinic (CCBHC) cost report for the two Certified Clinic Prospective Payment System (CCPPS) rate methodologies—CC PPS-1 and CC PPS-2. The cost report may be used to determine the clinic-specific PPS rate and to annually report demonstration costs. These payment rates were provided through the Demonstration Program to Improve Community Mental Health Services."

This course, which consists of five (5) distinct segments for easy viewing, provides the rigorous yet practical approaches to pricing long-term services and supports. For many of organizations selling their services in order to generate maximum net income is an unfamiliar activity. However, there are many pricing models and approaches that have been deployed in other sectors from which CBO’s can learn. This course teaches profitable commercial pricing strategies.

This interactive session, from n4a’s 2016 annual conference, helped participants learn how to tell their organization’s story and package their “products” in ways that will help them get noticed and appreciated by health care payers. Presenters included representatives from health plans who discussed what they look for in a “pitch” from a community-based organization seeking to market its services.

This webinar is presented by two aging and disability CBO experts with extensive experience packaging services and preparing organizations for contractual-based reimbursement arrangements. They discuss tips on identifying service populations, establishing product lines, building relationships, setting fees and more.

In this webinar, an aging network business development expert walks through the importance of cost and price-modeling, detailing the key steps and definitions in the process, and explains how correct pricing strategies can help CBOs achieve and advance their core mission while maintaining viability and even growth.

This resource offers narrative considerations along with helpful tools to develop pricing for integrated care and community-based services. It covers pricing structures, how to set a price, and other pricing strategies.

The Genworth Cost of Care Survey is a tool that details the costs of different types of care in various locations. This is a tool that can assist with long term care planning, and help individuals and families plan for long term care expenses. The 2017 survey covered 440 regions across the United States.

The Medicare Board of Trustees issued the 2016 report to Congress on the financial operations and actuarial status of the program. Medicare is the second-largest social insurance program in the U.S., with 55.3 million beneficiaries. The trustees projected that the Hospital Insurance Trust Fund will remain fully funded until 2028, 11 years longer than projected before the Affordable Care Act. Further analysis of expenditure growth overall and each part of the program is included in the report.

The Bipartisan Policy Center (BPC), with funding from the SCAN Foundation, published a report offering recommendations to improve the financing of long-term care. The BPC published another report in April 2014 that examined the challenges in financing and delivery. This report is a follow up of those findings that offers recommendations to improve these issues.

The LEAD Center published a policy brief that examines the impact of employment programs on health care costs for working-age people with disabilities. People with disabilities are responsible for a disproportionate amount of healthcare spending each year, mainly through Medicare and Medicaid. Employment of people with disabilities shows a "protective impact" on health, which would ultimately help to lower public spending on health care for this population.