Preparing Your Board For Value-Based Contracting
By Joe Naughton-Travers, Ed.M., Senior Associate & Executive Editor, Management Newsletter, OPEN MINDS Discussions about organizational strategy can easily take a negative turn, especially when talking about whether boards of directors at specialty provider organizations are up for the challenge of governance in a value-based market. Admittedly, the focus on value and increasing financial…
Continue Reading Preparing Your Board For Value-Based Contracting
Moving Beyond Fee-For-Service With Health Plans: Essential Elements To Getting Paid For Value
Slowly but surely, value-based reimbursement (VBR) is happening in the specialty provider marketplace. 40% of specialty provider organizations reported participating in a VBR contract (an increase of 13% from the previous year) according to our 2022 OPEN MINDS Performance Management Executive Survey. But, only 10% of specialty provider organizations have 20% or more of their…
40% & Counting
By Monica E Oss, Chief Executive Officer The proportion of U.S. health care reimbursement dollars paid in advanced value-based reimbursement (VBR) models—contracts with shared savings, downside financial risk, and/or population-based payments—just passed 40%. The slow adoption of VBR with financial gain sharing and downside risk sharing—along with the unique challenges to specialty provider organizations in…
VBR Marches On – A Trend Driving 2022 Strategy
By Monica E. Oss, Chief Executive Officer We started the year with the release of new reports on the continued movement away from fee-for-service reimbursement to alternate, value-based reimbursement (VBR) models. Over half of health systems are planning to move to “payvider” market positioning in 2022 (see Nearly 60% Of Health Systems Aim To Become ‘Payviders’…
Continue Reading VBR Marches On – A Trend Driving 2022 Strategy
Who Should Do What? Scope of Practice; Treatment Tech Shift Clinical Best Practices
By Monica E. Oss, Chief Executive Officer There has been a long debate about the scope of health care practices. What type of licensed clinical professionals can perform particular functions? Should psychologists and/or pharmacists prescribe psychotropic medications? What supervision do nurse practitioners and physician assistants need? (Should ‘physician assistants’ be renamed ‘physician associates’?) Psychologists can…
Continue Reading Who Should Do What? Scope of Practice; Treatment Tech Shift Clinical Best Practices
The Opportunities & Challenges Of VBR – Making It Work On The Ground
By Monica E. Oss, Chief Executive Officer Despite significant movement, behavioral health is trailing the rest of health care domains in value-based reimbursement contracting. Forty-five percent of specialty provider organizations have some value-based reimbursement (VBR)—compared to 72% of primary care organizations (for more, see, The OPEN MINDS 2022 Survey On Value-Based Reimbursement In Specialty And Primary Care). And…
Continue Reading The Opportunities & Challenges Of VBR – Making It Work On The Ground
Preparing Your Board For Value-Based Contracting
By Joe Naughton-Travers, Ed.M., Senior Associate & Executive Editor, Management Newsletter, OPEN MINDS Discussions about organizational strategy can easily take a negative turn, especially when talking about whether boards of directors at specialty provider organizations are up for the challenge of governance in a value-based market. Admittedly, the focus on value and increasing financial…
Continue Reading Preparing Your Board For Value-Based Contracting
Moving Beyond Fee-For-Service With Health Plans: Essential Elements To Getting Paid For Value
Slowly but surely, value-based reimbursement (VBR) is happening in the specialty provider marketplace. 40% of specialty provider organizations reported participating in a VBR contract (an increase of 13% from the previous year) according to our 2022 OPEN MINDS Performance Management Executive Survey. But, only 10% of specialty provider organizations have 20% or more of their…
40% & Counting
By Monica E Oss, Chief Executive Officer The proportion of U.S. health care reimbursement dollars paid in advanced value-based reimbursement (VBR) models—contracts with shared savings, downside financial risk, and/or population-based payments—just passed 40%. The slow adoption of VBR with financial gain sharing and downside risk sharing—along with the unique challenges to specialty provider organizations in…
VBR Marches On – A Trend Driving 2022 Strategy
By Monica E. Oss, Chief Executive Officer We started the year with the release of new reports on the continued movement away from fee-for-service reimbursement to alternate, value-based reimbursement (VBR) models. Over half of health systems are planning to move to “payvider” market positioning in 2022 (see Nearly 60% Of Health Systems Aim To Become ‘Payviders’…
Continue Reading VBR Marches On – A Trend Driving 2022 Strategy
Who Should Do What? Scope of Practice; Treatment Tech Shift Clinical Best Practices
By Monica E. Oss, Chief Executive Officer There has been a long debate about the scope of health care practices. What type of licensed clinical professionals can perform particular functions? Should psychologists and/or pharmacists prescribe psychotropic medications? What supervision do nurse practitioners and physician assistants need? (Should ‘physician assistants’ be renamed ‘physician associates’?) Psychologists can…
Continue Reading Who Should Do What? Scope of Practice; Treatment Tech Shift Clinical Best Practices
The Opportunities & Challenges Of VBR – Making It Work On The Ground
By Monica E. Oss, Chief Executive Officer Despite significant movement, behavioral health is trailing the rest of health care domains in value-based reimbursement contracting. Forty-five percent of specialty provider organizations have some value-based reimbursement (VBR)—compared to 72% of primary care organizations (for more, see, The OPEN MINDS 2022 Survey On Value-Based Reimbursement In Specialty And Primary Care). And…
Continue Reading The Opportunities & Challenges Of VBR – Making It Work On The Ground
Preparing Your Board For Value-Based Contracting
By Joe Naughton-Travers, Ed.M., Senior Associate & Executive Editor, Management Newsletter, OPEN MINDS Discussions about organizational strategy can easily take a negative turn, especially when talking about whether boards of directors at specialty provider organizations are up for the challenge of governance in a value-based market. Admittedly, the focus on value and increasing financial…
Continue Reading Preparing Your Board For Value-Based Contracting
Moving Beyond Fee-For-Service With Health Plans: Essential Elements To Getting Paid For Value
Slowly but surely, value-based reimbursement (VBR) is happening in the specialty provider marketplace. 40% of specialty provider organizations reported participating in a VBR contract (an increase of 13% from the previous year) according to our 2022 OPEN MINDS Performance Management Executive Survey. But, only 10% of specialty provider organizations have 20% or more of their…
Making Mergers & Acquisitions Work — Perspectives From Executives Post-Mergers
This presentation took place during The 2022 OPEN MINDS Mergers, Acquisitions & Affiliations Summit. From mergers driven by the desire to integrate with primary care, to acquisition of a “competitor” —each of these case study presentations will review the ups and downs of the process and offer strategic advice to organizations exploring the same path.…
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Mergers: How To Live Happily Ever After
By Monica Oss, Chief Executive Officer, OPEN MINDS Despite (or maybe because of) all the changes occurring across the health and human service landscape, mergers and acquisitions are proceeding at a rapid pace. This is true for both for-profit and non-profit organizations. Just in the past few months we’ve seen headlines like Northern Wyoming…
And The Digital Health Winner Is…
By Monica Oss, Chief Executive Officer, OPEN MINDS We’ve reached a time when the investor-owned health and human service market will likely see a correction of market value. It’s been a decade of big investment. The investment in health care in general—and in digital and in behavioral health companies in particular— culminated in $57.2…
Getting To Scale – One Way Or Another
By Monica Oss, Chief Executive Officer, OPEN MINDS How big is big enough for a sustainable specialty provider organization? The answer, which is a moving target, is ‘it depends”. The news of Amazon’s acquisition of One Medical has dominated the market news the past couple weeks (see Amazon To Acquire Primary Care Provider One…
Preparing Your Board For Value-Based Contracting
By Joe Naughton-Travers, Ed.M., Senior Associate & Executive Editor, Management Newsletter, OPEN MINDS Discussions about organizational strategy can easily take a negative turn, especially when talking about whether boards of directors at specialty provider organizations are up for the challenge of governance in a value-based market. Admittedly, the focus on value and increasing financial…
Continue Reading Preparing Your Board For Value-Based Contracting
Solving Behavioral Health Service Delivery Challenges: Why You Need To Be Thinking About AI…
Executive teams of behavioral health organizations are balancing several issues at the same time – improving access to care, productivity management, ensuring consumer safety, reducing administrative costs, and more. The solutions to these issues are increasingly being addressed by artificial intelligence-infused technology. Artificial intelligence (AI) in the health care field is more than chatbots doing…
Preparing Your Board For Value-Based Contracting
By Joe Naughton-Travers, Ed.M., Senior Associate & Executive Editor, Management Newsletter, OPEN MINDS Discussions about organizational strategy can easily take a negative turn, especially when talking about whether boards of directors at specialty provider organizations are up for the challenge of governance in a value-based market. Admittedly, the focus on value and increasing financial…
Continue Reading Preparing Your Board For Value-Based Contracting
Moving Beyond Fee-For-Service With Health Plans: Essential Elements To Getting Paid For Value
Slowly but surely, value-based reimbursement (VBR) is happening in the specialty provider marketplace. 40% of specialty provider organizations reported participating in a VBR contract (an increase of 13% from the previous year) according to our 2022 OPEN MINDS Performance Management Executive Survey. But, only 10% of specialty provider organizations have 20% or more of their…
Is It Time For New Technology? Leveraging The Data You Already Have To Determine If A Change Is Worth The Pain
Implementing a new EHR or other healthcare technology can be expensive and disruptive. How do you decide if the gains are worth the pains? On January 18, 2023, our panelists from Qualifacts, Tammy Selleck, MBA, Senior Manager, RCMS; Suzanne Malmkar, Director of Product Management of Partnerships; and Christy Winter, Product Director, discussed how your data…
Leveraging Your EHR To Accommodate The “No Surprises Act”
While many state Medicaid programs have had balance billing regulations in place for ten or more years, the “No Surprises Act” has many nuances that impact behavioral health agencies, particularly in the area of compliance. During the webinar on October 11, 2022, Tammy Selleck, Senior Manager of Revenue Cycle Management Services for Qualifacts reviewed the…
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Navigating Complex Care Models – 5 Stages of Complex Care and Reimbursement Model Experience
As provider organizations evaluate and adopt complex care and reimbursement models, there are five consistent stages of experience. Whether taking on Value-Based Care contracts, becoming or working with a CCBHC program provider, the path to success travels a similar progression. On August 24, 2022, Qualifacts’ CCBHC Program Manager Mary Givens shared insights and best practices…
Preparing Your Board For Value-Based Contracting
By Joe Naughton-Travers, Ed.M., Senior Associate & Executive Editor, Management Newsletter, OPEN MINDS Discussions about organizational strategy can easily take a negative turn, especially when talking about whether boards of directors at specialty provider organizations are up for the challenge of governance in a value-based market. Admittedly, the focus on value and increasing financial…
Continue Reading Preparing Your Board For Value-Based Contracting
Moving Beyond Fee-For-Service With Health Plans: Essential Elements To Getting Paid For Value
Slowly but surely, value-based reimbursement (VBR) is happening in the specialty provider marketplace. 40% of specialty provider organizations reported participating in a VBR contract (an increase of 13% from the previous year) according to our 2022 OPEN MINDS Performance Management Executive Survey. But, only 10% of specialty provider organizations have 20% or more of their…
40% & Counting
By Monica E Oss, Chief Executive Officer The proportion of U.S. health care reimbursement dollars paid in advanced value-based reimbursement (VBR) models—contracts with shared savings, downside financial risk, and/or population-based payments—just passed 40%. The slow adoption of VBR with financial gain sharing and downside risk sharing—along with the unique challenges to specialty provider organizations in…
VBR Marches On – A Trend Driving 2022 Strategy
By Monica E. Oss, Chief Executive Officer We started the year with the release of new reports on the continued movement away from fee-for-service reimbursement to alternate, value-based reimbursement (VBR) models. Over half of health systems are planning to move to “payvider” market positioning in 2022 (see Nearly 60% Of Health Systems Aim To Become ‘Payviders’…
Continue Reading VBR Marches On – A Trend Driving 2022 Strategy
Who Should Do What? Scope of Practice; Treatment Tech Shift Clinical Best Practices
By Monica E. Oss, Chief Executive Officer There has been a long debate about the scope of health care practices. What type of licensed clinical professionals can perform particular functions? Should psychologists and/or pharmacists prescribe psychotropic medications? What supervision do nurse practitioners and physician assistants need? (Should ‘physician assistants’ be renamed ‘physician associates’?) Psychologists can…
Continue Reading Who Should Do What? Scope of Practice; Treatment Tech Shift Clinical Best Practices
The Opportunities & Challenges Of VBR – Making It Work On The Ground
By Monica E. Oss, Chief Executive Officer Despite significant movement, behavioral health is trailing the rest of health care domains in value-based reimbursement contracting. Forty-five percent of specialty provider organizations have some value-based reimbursement (VBR)—compared to 72% of primary care organizations (for more, see, The OPEN MINDS 2022 Survey On Value-Based Reimbursement In Specialty And Primary Care). And…
Continue Reading The Opportunities & Challenges Of VBR – Making It Work On The Ground
