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How To Manage The 5% With Multiple Chronic Conditions & Complex Support Needs

By Monica E. Oss There is a lot of investment money going into the mental health field—in fact, $14.7 billion in the first half of this year (see Why Are Digital First Mental Health Companies So Popular?). Much of that investment is focused on digital behavioral health systems and tools for both professional and self-care. However,…

Continue Reading How To Manage The 5% With Multiple Chronic Conditions & Complex Support Needs

Addressing Social Determinants As A Path To Revenue Growth

By Monica E. Oss Over the last 15 years, there have been many pilot projects by payers, health plans, and public and private entities to address social determinants of health (SDOH). In the past couple years, we’ve heard from several health plan executives about their SDOH initiatives (see Mind, Body, Community: Kaiser Permanente’s Unique Approach, Innovation: Tag,…

Continue Reading Addressing Social Determinants As A Path To Revenue Growth

WellSpan Health & Gateway Health Launch Value-Based Partnership For Medicaid Members

On July 29, 2021, Gateway Health, a Pennsylvania Medicaid managed care plan, and WellSpan Health a health system in central Pennsylvania launched a value-based partnership focused on connecting Gateway Health members with primary care professionals. Gateway Health and WellSpan are proactively contacting Gateway Health’s Medicaid members who visit the health system through emergency or urgent…

Continue Reading WellSpan Health & Gateway Health Launch Value-Based Partnership For Medicaid Members

Four Keys To Success With Value-Based Reimbursement

By Monica M. Oss The move away from fee-for-service reimbursement—toward value-based arrangements with financial alignment between health plans and provider organizations—continues. A look at some of the reporting over the past quarter illustrates the continuing activity—Humana To Acquire One Homecare Solutions To Accelerate Development Of Value-Based Home Health Offering, Gateway Health & Wellspan Health Announce Value-Based…

Continue Reading Four Keys To Success With Value-Based Reimbursement

Don’t Leave Money On The Table: How The Right Technology Can Improve Your VBR Success

Originally presented on May 26th, 2021 Value-based care is here! If you haven’t started thinking about what it is you need to compete in a value-based environment, now is the time to start. With the rise in value-based care contracts and utilization of alternative payment models, provider organizations are challenged with doing the research and…

Continue Reading Don’t Leave Money On The Table: How The Right Technology Can Improve Your VBR Success

Caron Treatment Centers & Independence Blue Cross Report Value-Based Contract Linked To Lower 90-Day Readmission Rate

Independence Blue Cross (IBC) reported that its value-based arrangement with addiction treatment provider Caron Treatment Centers resulted in a 5.6% 90-day readmission rate during a 2019 pilot. Under the arrangement, IBC paid Caron one single upfront fee for IBC members receiving treatment for addiction disorder, and Caron was at risk for any readmissions that occurred…

Continue Reading Caron Treatment Centers & Independence Blue Cross Report Value-Based Contract Linked To Lower 90-Day Readmission Rate

Top EHR Trends In 2021: Results Of The Annual Behavioral Health EHR Survey

We’re bombarded with stories about electronic health records (EHR) evolving to become more flexible and use more services like blockchain, cryptocurrencies, and artificial intelligence, but what do your peers report firsthand? We recently concluded the sixth annual National Behavioral Health EHR Survey and found that only 19% of provider organizations report their clinical, scheduling, billing,…

Continue Reading Top EHR Trends In 2021: Results Of The Annual Behavioral Health EHR Survey

Maximize Your Organizational Effectiveness With Analytics & Reporting

Improving value, competitive advantage, and sustainability are top of mind for executives of most behavioral health and human services provider organizations. None of these improvements are possible without consistent, high-quality reporting and analytics. Implementing analytics and reporting is much easier than you may believe. Join Christy Winter, Senior Product Manager, Analytics, of Qualifacts + Credible…

Continue Reading Maximize Your Organizational Effectiveness With Analytics & Reporting

How To Manage The 5% With Multiple Chronic Conditions & Complex Support Needs

By Monica E. Oss There is a lot of investment money going into the mental health field—in fact, $14.7 billion in the first half of this year (see Why Are Digital First Mental Health Companies So Popular?). Much of that investment is focused on digital behavioral health systems and tools for both professional and self-care. However,…

Continue Reading How To Manage The 5% With Multiple Chronic Conditions & Complex Support Needs

Addressing Social Determinants As A Path To Revenue Growth

By Monica E. Oss Over the last 15 years, there have been many pilot projects by payers, health plans, and public and private entities to address social determinants of health (SDOH). In the past couple years, we’ve heard from several health plan executives about their SDOH initiatives (see Mind, Body, Community: Kaiser Permanente’s Unique Approach, Innovation: Tag,…

Continue Reading Addressing Social Determinants As A Path To Revenue Growth

WellSpan Health & Gateway Health Launch Value-Based Partnership For Medicaid Members

On July 29, 2021, Gateway Health, a Pennsylvania Medicaid managed care plan, and WellSpan Health a health system in central Pennsylvania launched a value-based partnership focused on connecting Gateway Health members with primary care professionals. Gateway Health and WellSpan are proactively contacting Gateway Health’s Medicaid members who visit the health system through emergency or urgent…

Continue Reading WellSpan Health & Gateway Health Launch Value-Based Partnership For Medicaid Members

Four Keys To Success With Value-Based Reimbursement

By Monica M. Oss The move away from fee-for-service reimbursement—toward value-based arrangements with financial alignment between health plans and provider organizations—continues. A look at some of the reporting over the past quarter illustrates the continuing activity—Humana To Acquire One Homecare Solutions To Accelerate Development Of Value-Based Home Health Offering, Gateway Health & Wellspan Health Announce Value-Based…

Continue Reading Four Keys To Success With Value-Based Reimbursement

CMS Designates Connecticut Health Plan’s Episodes-Of-Care Payment Model As One Of TheFirst Commercial Plan Other Payer Advanced Alternative Payment Model

On October 7, 2021, the Centers for Medicare & Medicaid Services (CMS) approved a new payment model—the Episodes of Care program—between the State of Connecticut Health Plan for state employees and several provider organizations as an Other Payer Advanced Alternative Payment Model (A-APM). This Other Payer A-APM designation is one of the first earned by…

Continue Reading CMS Designates Connecticut Health Plan’s Episodes-Of-Care Payment Model As One Of TheFirst Commercial Plan Other Payer Advanced Alternative Payment Model

How To Manage The 5% With Multiple Chronic Conditions & Complex Support Needs

By Monica E. Oss There is a lot of investment money going into the mental health field—in fact, $14.7 billion in the first half of this year (see Why Are Digital First Mental Health Companies So Popular?). Much of that investment is focused on digital behavioral health systems and tools for both professional and self-care. However,…

Continue Reading How To Manage The 5% With Multiple Chronic Conditions & Complex Support Needs

Addressing Social Determinants As A Path To Revenue Growth

By Monica E. Oss Over the last 15 years, there have been many pilot projects by payers, health plans, and public and private entities to address social determinants of health (SDOH). In the past couple years, we’ve heard from several health plan executives about their SDOH initiatives (see Mind, Body, Community: Kaiser Permanente’s Unique Approach, Innovation: Tag,…

Continue Reading Addressing Social Determinants As A Path To Revenue Growth

Massachusetts FQHC Centers Surpass One Million Telehealth Visits

The Massachusetts Federally Qualified Health Center (FQHC) Telehealth Consortium’s 35 community health center members have conducted more than one million telemedicine visits since the start of coronavirus disease 2019 (COVID-19) in March of 2020. This achievement comes at the same time the Consortium has passed the halfway mark of its Phase II $12 million fundraising…

Continue Reading Massachusetts FQHC Centers Surpass One Million Telehealth Visits

WellSpan Health & Gateway Health Launch Value-Based Partnership For Medicaid Members

On July 29, 2021, Gateway Health, a Pennsylvania Medicaid managed care plan, and WellSpan Health a health system in central Pennsylvania launched a value-based partnership focused on connecting Gateway Health members with primary care professionals. Gateway Health and WellSpan are proactively contacting Gateway Health’s Medicaid members who visit the health system through emergency or urgent…

Continue Reading WellSpan Health & Gateway Health Launch Value-Based Partnership For Medicaid Members

Four Keys To Success With Value-Based Reimbursement

By Monica M. Oss The move away from fee-for-service reimbursement—toward value-based arrangements with financial alignment between health plans and provider organizations—continues. A look at some of the reporting over the past quarter illustrates the continuing activity—Humana To Acquire One Homecare Solutions To Accelerate Development Of Value-Based Home Health Offering, Gateway Health & Wellspan Health Announce Value-Based…

Continue Reading Four Keys To Success With Value-Based Reimbursement

How To Manage The 5% With Multiple Chronic Conditions & Complex Support Needs

By Monica E. Oss There is a lot of investment money going into the mental health field—in fact, $14.7 billion in the first half of this year (see Why Are Digital First Mental Health Companies So Popular?). Much of that investment is focused on digital behavioral health systems and tools for both professional and self-care. However,…

Continue Reading How To Manage The 5% With Multiple Chronic Conditions & Complex Support Needs

Providers Growingly Concerned About EHR Functionalities & The Technologies Needs For Future Service Delivery & Reimbursement: Top EHR Trends From The 2021 <em>OPEN MINDS</em> National Behavioral Health EHR Survey

Originally presented on October 19, 2021. We’re bombarded with stories about electronic health records (EHR) evolving to become more flexible and use more services like blockchain, cryptocurrencies, and artificial intelligence, but what do your peers report firsthand? We recently concluded the sixth annual OPEN MINDS National Behavioral Health EHR Survey and found that 53% of provider organizations…

Continue Reading Providers Growingly Concerned About EHR Functionalities & The Technologies Needs For Future Service Delivery & Reimbursement: Top EHR Trends From The 2021 <em>OPEN MINDS</em> National Behavioral Health EHR Survey

Maximize Your Organizational Effectiveness With Analytics & Reporting: Unique Case Studies As Told By Monarch & Options Counseling & Family Services

Originally presented on 9/28/2021 Improving value, competitive advantage, and sustainability are top of mind for executives of most behavioral health and human services provider organizations. None of these improvements are possible without consistent, high-quality reporting and analytics. Implementing analytics and reporting is much easier than you may believe. During this webinar, Scott Budzien, Data Scientist…

Continue Reading Maximize Your Organizational Effectiveness With Analytics & Reporting: Unique Case Studies As Told By Monarch & Options Counseling & Family Services

How To Manage The 5% With Multiple Chronic Conditions & Complex Support Needs

By Monica E. Oss There is a lot of investment money going into the mental health field—in fact, $14.7 billion in the first half of this year (see Why Are Digital First Mental Health Companies So Popular?). Much of that investment is focused on digital behavioral health systems and tools for both professional and self-care. However,…

Continue Reading How To Manage The 5% With Multiple Chronic Conditions & Complex Support Needs

Addressing Social Determinants As A Path To Revenue Growth

By Monica E. Oss Over the last 15 years, there have been many pilot projects by payers, health plans, and public and private entities to address social determinants of health (SDOH). In the past couple years, we’ve heard from several health plan executives about their SDOH initiatives (see Mind, Body, Community: Kaiser Permanente’s Unique Approach, Innovation: Tag,…

Continue Reading Addressing Social Determinants As A Path To Revenue Growth

WellSpan Health & Gateway Health Launch Value-Based Partnership For Medicaid Members

On July 29, 2021, Gateway Health, a Pennsylvania Medicaid managed care plan, and WellSpan Health a health system in central Pennsylvania launched a value-based partnership focused on connecting Gateway Health members with primary care professionals. Gateway Health and WellSpan are proactively contacting Gateway Health’s Medicaid members who visit the health system through emergency or urgent…

Continue Reading WellSpan Health & Gateway Health Launch Value-Based Partnership For Medicaid Members

Four Keys To Success With Value-Based Reimbursement

By Monica M. Oss The move away from fee-for-service reimbursement—toward value-based arrangements with financial alignment between health plans and provider organizations—continues. A look at some of the reporting over the past quarter illustrates the continuing activity—Humana To Acquire One Homecare Solutions To Accelerate Development Of Value-Based Home Health Offering, Gateway Health & Wellspan Health Announce Value-Based…

Continue Reading Four Keys To Success With Value-Based Reimbursement

How To Manage The 5% With Multiple Chronic Conditions & Complex Support Needs

By Monica E. Oss There is a lot of investment money going into the mental health field—in fact, $14.7 billion in the first half of this year (see Why Are Digital First Mental Health Companies So Popular?). Much of that investment is focused on digital behavioral health systems and tools for both professional and self-care. However,…

Continue Reading How To Manage The 5% With Multiple Chronic Conditions & Complex Support Needs

Addressing Social Determinants As A Path To Revenue Growth

By Monica E. Oss Over the last 15 years, there have been many pilot projects by payers, health plans, and public and private entities to address social determinants of health (SDOH). In the past couple years, we’ve heard from several health plan executives about their SDOH initiatives (see Mind, Body, Community: Kaiser Permanente’s Unique Approach, Innovation: Tag,…

Continue Reading Addressing Social Determinants As A Path To Revenue Growth

WellSpan Health & Gateway Health Launch Value-Based Partnership For Medicaid Members

On July 29, 2021, Gateway Health, a Pennsylvania Medicaid managed care plan, and WellSpan Health a health system in central Pennsylvania launched a value-based partnership focused on connecting Gateway Health members with primary care professionals. Gateway Health and WellSpan are proactively contacting Gateway Health’s Medicaid members who visit the health system through emergency or urgent…

Continue Reading WellSpan Health & Gateway Health Launch Value-Based Partnership For Medicaid Members

Four Keys To Success With Value-Based Reimbursement

By Monica M. Oss The move away from fee-for-service reimbursement—toward value-based arrangements with financial alignment between health plans and provider organizations—continues. A look at some of the reporting over the past quarter illustrates the continuing activity—Humana To Acquire One Homecare Solutions To Accelerate Development Of Value-Based Home Health Offering, Gateway Health & Wellspan Health Announce Value-Based…

Continue Reading Four Keys To Success With Value-Based Reimbursement

Don’t Leave Money On The Table: How The Right Technology Can Improve Your VBR Success

Originally presented on May 26th, 2021 Value-based care is here! If you haven’t started thinking about what it is you need to compete in a value-based environment, now is the time to start. With the rise in value-based care contracts and utilization of alternative payment models, provider organizations are challenged with doing the research and…

Continue Reading Don’t Leave Money On The Table: How The Right Technology Can Improve Your VBR Success

Caron Treatment Centers & Independence Blue Cross Report Value-Based Contract Linked To Lower 90-Day Readmission Rate

Independence Blue Cross (IBC) reported that its value-based arrangement with addiction treatment provider Caron Treatment Centers resulted in a 5.6% 90-day readmission rate during a 2019 pilot. Under the arrangement, IBC paid Caron one single upfront fee for IBC members receiving treatment for addiction disorder, and Caron was at risk for any readmissions that occurred…

Continue Reading Caron Treatment Centers & Independence Blue Cross Report Value-Based Contract Linked To Lower 90-Day Readmission Rate