DESIGNING A VALUE-BASED PROPOSITION PROPOSAL

The Institute for Community Living (ICL) is a New York-based nonprofit human services organization that provides integrated trauma-oriented, recovery-oriented, and person-centered care. In its continual effort to improve patient health, ICL identified an opportunity to propose a Value-Based Proposition (VBP) to one of its Managed Care Organizations. ICL tasked a team with developing a VBP proposal with a cost saving incentive and a strategy for improving patient lives by addressing social determinants of health. The team conducted an extensive literature review and performed a data analysis using ICL data, New York State Office of Mental Health data, and patient demographic information. The team developed a VBP proposal focused on delivering community-based integrated care to a target patient population in order to reduce unnecessary hospitalizations and ER visits, ultimately saving the Managed Care Organization nearly $4 million.