• Home
  • About
    • News
  • Products & Services
    • Long-Term Services and Supports
    • Intellectual & Developmental Disabilities
    • Behavioral Health
  • Contact

Behavioral Health

Behavioral Health

  • The Behavioral Health HealthChoices system has been in place with the county right of first opportunity since the mid-90s.
  • The program has come under reconsideration for not having evolved, such that a carve-in program is being advanced.
  • Regardless of the program design (carve-in vs carve-out) one of the biggest trends nationwide is the move to VBP methodologies.
  • VBP is the combination of an alternative payment mechanism, coupled with performance-based/quality and outcomes incentives (in contrast to traditional fee-for-service methodologies).
  • Recently, OMHSAS created a VBP Steering Committee.

Behavioral Health Landscape

  • 70% of individuals with coverage through Medicaid are in managed care plans
  • States’ Medicaid as the main payer serving the SMI population
    o  An increase in behavioral health financing integration into health plans
    o  Specialty health plans focused on the medical and behavioral health needs of the SMI population
    o  Care coordination and integration initiatives
  • 41 states with at least one behavioral health care coordination initiative:
    o  Patient-centered medical home
    o  Health home
    o  Accountable care organization (ACO)
    o  Dual demonstration
    o  Certified community behavioral health clinic (CCBHCs) models

LTSS
IDD
Behavioral Health
About
​
Contact
© COPYRIGHT 2020. ALL RIGHTS RESERVED.
  • Home
  • About
    • News
  • Products & Services
    • Long-Term Services and Supports
    • Intellectual & Developmental Disabilities
    • Behavioral Health
  • Contact