A Look Back Blog: Negotiating with Health Plans
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
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
Building the capacity of RWHAP Part A Planning Councils/Planning Bodies to meet legislative requirements, strengthen consumer engagement, and increase planning involvement by community stakeholders/providers. Project period: 2020-2023.
RWHAP Technical Assistance Provider updated on 03/04/2024
TA/training to ASOs and CBOs most in need of critical assistance to make changes in health care delivery and financing.
RWHAP Technical Assistance Provider updated on 08/28/2023
Resource updated 05/29/2024
Resource updated 05/29/2024
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
Scorecard template for use in keeping parties involved in RWHAP Part A planning informed about funds allocated to service areas. Also for the outcomes in terms of costs and care outcomes.
Resource updated 09/19/2023
Support for Part A and B recipients and their planning bodies around integrated HIV/AIDS planning efforts. Project period: 2016-2027.
RWHAP Technical Assistance Provider updated on 05/30/2024
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
Insights to ADAP procedures for seeking rebates when a prescription is filled by another 340B entity pharmacy.
Resource updated 03/05/2024
This resource provides descriptions of best practices for mentoring programs. In which a new planning council/body member is paired with an experienced member.
Resource updated 12/12/2019
Series of tools to assist agencies as they undertake transformation to status as a Patient-Centered Medical Home (PCMH).
Resource updated 09/19/2023
Review of the priority setting and resource allocation (PSRA) process that RWHAP Part A planning councils/planning bodies need to engage in every year.
Resource updated 01/05/2024
Resource updated 05/07/2024
Review of the duties and roles of RWHAP Part A planning council/planning body members, planning council support staff, and RWHAP Part A recipients.
Resource updated 01/05/2024
Resource updated 01/05/2024
Resource updated 08/28/2023
Review of the needs assessment process that RWHAP Part A planning councils/planning bodies conduct annually, with a case study on consumer leadership of the needs assessment process.
Resource updated 01/05/2024
Discussion of how ASO and CBO leaders can engage their boards when working toward organizational restructuring.
Resource updated 03/21/2024