Payer, Provider Value-Based Care Contract Targets Equity, Population Health

December 20, 2022acoBehavioral Health, palliative care, payer-provider collaboration, racial disparities, racial equity, Telehealth

Independence Blue Cross (Independence) has announced that it will renew its long-term value-based care contract with Jefferson Health. The provider will participate in Independence’s Total Value of Care value-based care program starting on January 1, 2023. Independence, a payer in southeastern Pennsylvania, has already been in a value-based care partnership with the non-profit health system and teaching…

5 Behavioral Health Trends for 2022

January 12, 2022acoBehavioral Health

An increased public recognition of the need for behavioral health treatment is one of the top trends in behavioral health care for 2022, an expert says. Jason Washburn, PhD, MA, is a professor of psychiatry and behavioral sciences at Northwestern University Feinberg School of Medicine as well as a member of the board of advisors…

Quality measures don’t match patient-reported outcomes in inpatient behavioral health

November 10, 2021Garrett SchmittNo CommentsBehavioral Health, inpatient behavioral health, JQQ, mental health, NAQH, patient experience, patient outcomes, patient reports, Patient Satisfaction, psychiatric hospitals, quality measures, quality of care, self-reported outcomes, SROs

At psychiatric hospitals and other inpatient behavioral health facilities, good performance on routine quality measures does not necessarily lead to improvement in symptoms and other patient self-reported outcomes (SROs), reports a study in the November/December issue of the Journal for Healthcare Quality (JHQ), the peer-reviewed journal of the National Association for Healthcare Quality (NAHQ). “[O]ur analyses suggest…

Consider Mental Health Equity on World Mental Health Day

October 11, 2021Garrett SchmittNo CommentsBehavioral Health, Coronavirus, COVID-19, COVID-19 pandemic, mental health, mental health equity, SDOH, World Mental Health day

COVID-19 exacted a toll on health citizens’ mental health, worsening a public health challenge that was already acute before the pandemic. It’s World Mental Health Day, an event marked by global and local stakeholders across the mental health ecosystem. On the global front, the World Health Organization (WHO) describes the universal phenomenon and burden of mental…

CCBHC Model Puts ‘Building Blocks into Place for Value-Based Payment Success’

August 19, 2021Garrett SchmittNo CommentsBehavioral Health, CCBHC, Certified Community Behavioral Health Clinic, value-based care, vbc

The Certified Community Behavioral Health Clinic (CCBHC) model has been shown to reduce hospitalizations, cut costs and improve employee recruitment and retention for participants. And on top of all that, it can also help set providers up for success in value-based care models.  “CCBHC funds can really help organizations put those building blocks into place…

Optum Behavioral Care CEO: Value-Based Care Is The Payment Model We Want To Get To

July 15, 2021Garrett SchmittNo CommentsBehavioral Health, Optum, value-based care, vbc

Amid pervasive workforce shortages and a growing demand for services, Optum Behavioral Health is working to reimagine the way behavioral health care is delivered. CEO Katherine Hobbs Knutson, who joined the company about a year ago, is leading the charge. “That divide between … what exists in the field versus what people actually have access…

Payer Survey Finds Opportunities for Renewed Focus on Mental Health

June 29, 2021Garrett SchmittNo CommentsBehavioral Health, mental health, mental healthcare

In 2019, more than 1 in 5 US adults experienced mental illness, with 5.2% experiencing serious mental illness. In 2020, the percentage of uninsured adults with mental illness increased to 10.5%, and 57% of all US adults experiencing a mental illness received no treatment. Existing issues with the fractured mental health care system in the…

How value-based care can support the growing mental and behavioral health need

May 20, 2021Garrett SchmittNo CommentsBehavioral Health, COVID-19, mental health, SDOH, Telehealth, vbc

Health plans in the United States are increasingly shifting away from traditional fee-for-service (FFS) reimbursement toward value-based care (VBC) models, which incent the quality of care as opposed to quantity. Although the promise of high-quality, cost-effective care is alluring, the adoption of and engagement in these programs has proven challenging for both plans and providers…

RECORDED WEBINAR: Expanding Behavioral Health Solutions for ACOs

October 29, 2019Garrett SchmittNo CommentsACO, ACOs, Behavioral Health, Webinar, webinars

 Download Slides During this presentation we discuss these important steps to expanding behavioral Health Solutions in your ACO: Provide PCP access to mental health care team and psychiatry services Focus on screenings such as PQH-9, GAD-7, trauma and substance abuse Evidence-based process to reduce symptoms in 50% less time than traditional approach​ Deliver population-level…

Shorter behavioral stays save Medicaid money, but frustrate hospitals

August 1, 2018Garrett SchmittNo CommentsBehavioral Health, Cost Containment, Cost Reduction, hospital, Hospitals, Medicaid, Medicaid ACOs

The shift toward value-based payment in healthcare that countless advocates say will cut costs and improve the quality of care isn’t without its downsides. This week’s earnings show the evolution is weighing on some providers’ bottom lines. As more of Universal Health Services’ behavioral health patients move from fee-for-service Medicaid to Medicaid managed-care programs, the…

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