Paying for value in behavioral health: what California can learn from other states' Medicaid programs

Paying for value in behavioral health: what California can learn from other states' Medicaid programs

Collection:
Health Policy and Services Research
Author(s):
Belfort, Robert, author
Striar, Adam, author
Contributor(s):
California HealthCare Foundation, issuing body.
Manatt, Phelps & Phillips, issuing body.
Publication:
[Oakland, California] : California Health Care Foundation, February 2020
Language(s):
English
Format:
Text
Subject(s):
Medicaid -- economics
Value-Based Purchasing
California
United States
Genre(s):
Technical Report
Abstract:
State Medicaid programs are actively pursuing models of behavioral health value-based purchasing (VBP). To obtain a general understanding of the scope and nature of these activities, reviews were conducted of well-publicized initiatives in three state Medicaid programs that have adopted different types of behavioral health VBP models: Vermont. The state's hub and spoke model has increased access to addiction treatment in the state, while the more recent Mental Health Payment Reform, Residential Substance Use Disorder Treatment Case Rate, and Applied Behavior Analysis Case Rate methodologies are attempting to expand behavioral health VBP to new types of services. New York. The Behavioral Health VBP Readiness Program has invested considerable resources to assist behavioral health providers with forming networks that can participate in total cost of care and other VBP arrangements. Tennessee. The state's Health Home program-- Tennessee Health Link--has improved the ability of community mental health centers to serve high-need members, while the Episodes of Care program has demonstrated a promising new approach to VBP for discrete behavioral health conditions.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-ND license. (More information)
Extent:
1 online resource (1 PDF file (32 pages))
Illustrations:
Illustrations
NLM Unique ID:
101771837 (See catalog record)
Permanent Link:
http://resource.nlm.nih.gov/101771837