Recognizing Quality in Ryan White Part A Medical Case Management Services: A Value-based Payment Pilot Test
Review of a value-based payment system for medical case management.
Resource (Conference Presentation) updated 09/14/2023
Review of a value-based payment system for medical case management.
Resource (Conference Presentation) updated 09/14/2023
Overview of successes and challenges of implementing a sliding fee scale and an efficient cap-on-charges process by a RWHAP clinic.
Resource (Conference Presentation) updated 09/14/2023
Description of how the agency standardized the complicated charge capture of telemedicine visits, from scheduling to billing to payment, in a rapidly evolving environment.
Resource (Conference Presentation) updated 09/14/2023
Review of innovative financial and administrative processes adopted during the COVID-19 pandemic to ensure continuation of operations by RWHAP sub-recipients.
Resource (Conference Presentation) updated 09/14/2023
Resource updated 03/15/2023
Herramienta para ayudar a los usuarios a entender la relación entre la cobertura de salud y los impuestos. También se describe cómo conciliar los créditos tributarios anticipados de prima a través de la presentación de impuestos.
Resource updated 01/22/2024
Resource (Conference Presentation) updated 09/14/2023
Blog updated 12/22/2022
Resource updated 08/21/2023
Resource updated 08/21/2023
Resource updated 09/19/2023
Resource updated 09/19/2023
Resource (Conference Presentation) updated 09/14/2023
Form for clients explaining the maximum annual amount of costs they will incur for RWHAP services they receive.
Resource updated 09/19/2023
A 2014 blog on how a Ryan White HIV clinic negotiated with a health plan, with lessons learned for agencies seeking coverage for the new treatment long-acting injectables.
Blog updated 03/25/2024
Review of how agencies can market their services to health insurers. Covers the basics of marketing, how to develop a marketing plan, getting a first meeting with insurers, and how to make a compelling pitch.
Resource updated 03/05/2024
Tool for conducting a cost analysis (determining the unit/average cost of a service) for purposes of billing and securing reimbursement for services provided.
Resource updated 03/05/2024
Tool for assessing your organization’s strengths and gaps in areas that (1) are important to insurers and (2) support maximizing revenue from contracting activities.
Resource updated 10/05/2023
Insights to ADAP procedures for seeking rebates when a prescription is filled by another 340B entity pharmacy.
Resource updated 03/05/2024
Steps agencies can take to bill for services that enhance their financial sustainability.
Resource updated 10/05/2023