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
Making Tech Work
By Monica E. Oss, Chief Executive Officer Tech investment in health care is big. Eighty percent of health care provider organization executive teams are looking to make additional investments in technology in the next five years (see Future Of Healthcare Report: Exploring Healthcare Stakeholders’ Expectations For The Next Chapter). As a result, the health care tech…
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
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
Making Tech Work
By Monica E. Oss, Chief Executive Officer Tech investment in health care is big. Eighty percent of health care provider organization executive teams are looking to make additional investments in technology in the next five years (see Future Of Healthcare Report: Exploring Healthcare Stakeholders’ Expectations For The Next Chapter). As a result, the health care tech…
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
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…
Four Things I Learned About Private Equity
By Monica Oss, Chief Executive Officer, OPEN MINDS I walked away from our 2022 OPEN MINDS Mergers, Acquisitions & Affiliations Summit with new insights on the role of private equity (PE) in the field. And for that, I’m grateful to our three keynote panelists—Eric Keen, General Partner for Council Capital, Matthew Pettit, Founding Partner…
The Marketing Imperative
By Monica Oss, Chief Executive Officer, OPEN MINDS The current health and human service landscape is being shaped by the ‘end’ of the pandemic period and its lingering effects, high inflation rates and higher wage rates, and new competition. To navigate through the year ahead to longer-term sustainability requires a good strategy, metrics-based management,…
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…
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…
Continue Reading Leveraging Your EHR To Accommodate The “No Surprises Act”
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…
6 Steps To Improving CCBHC Outcomes The Berks Counseling Center Case Study
On May 25, 2022, Qualifacts’ CCBHC Program Manager Mary Givens and John Heim, Technology Specialist, EHR Systems for Berks Counseling Center discussed a 6-step process for improving performance on behavioral health led CCBHC outcomes. They provided insight into the greatest challenges of high performance on the CCBHC behavioral health led measures along with the successes…
Continue Reading 6 Steps To Improving CCBHC Outcomes The Berks Counseling Center Case Study
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
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
Making Tech Work
By Monica E. Oss, Chief Executive Officer Tech investment in health care is big. Eighty percent of health care provider organization executive teams are looking to make additional investments in technology in the next five years (see Future Of Healthcare Report: Exploring Healthcare Stakeholders’ Expectations For The Next Chapter). As a result, the health care tech…
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
