Payers Must Create Infrastructure to Support Behavioral Health Providers Moving Towards Value-Based Care Contracting

While the medical community agrees that integrating behavioral health and primary care is critical to better patient outcomes, making that happen means disrupting the status quo. Industry stakeholders are rethinking the current reimbursement structure to promote integrated care. But to shift the current paradigm, payers and providers must work together to navigate uncharted territory. Roughly […]

Payers Overwhelmed by Overflow of Behavioral Health Point Solutions

Mental health providers are increasingly innovating among specific patient populations as part of their value-based care strategies, a trend that’s turning into a challenge for insurers and employers. One of the pain points is the focus on only a subset of individuals, when employers and insurers are looking more broadly at their entire population. Payers […]

Peer Workers, Better Outcome Measures Key to Successful Value-Based Care in Behavioral Health

Behavioral health proponents often tout value-based care as an efficient way for providers to deliver better services, giving them the chance to be paid based on the quality outcomes they produce for patients rather than the historically low fee-for-services reimbursement rates they typically receive. The payment model has picked up steam in recent years, as […]

Optum Behavioral CEO: We Must Expand the Behavioral Health Care Delivery System to Facilitate Value-Based Care

On average, people with behavioral health conditions cost payers about $875 more per member per month than those without behavioral health conditions. Yet, studies show that less than half of the patients who need behavioral health treatment actually receive it. The health care system’s fee-for-service nature is one reason for that, as is the massive […]