Hidalgo Medical Services Why integrated care At the worst Lower costs for payers at the expense of providers patients and the system as a whole At the most likely Refinement of system to select providers of services who can deliver acceptably consistent quality at lower cost ID: 775848
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VBP: Quick Start
Neal A. Bowen, PhD
Hidalgo Medical Services
Slide2Why integrated care?
Slide3At the worst:Lower costs for payers at the expense of providers, patients, and the system as a wholeAt the most likely:Refinement of system to select providers of services who can deliver acceptably consistent quality at lower costAt the best:Align incentives with the health care system we deserveBetter population health; reduced disparities; better care; happier staff; lower costs
Why Value Based Purchasing
Slide4Culture ChangeWho keeps track of a person’s whole health needs? Who’s in charge?Bidirectional Through Care CoordinationSustainablyPolicy: Teaming BenefitPolicy: BH Providers paid for interventions
How to Integrate?
Slide5MAHP 2.0
Slide6Align Incentives with Goals
John Talbot, Jefferson Center for Mental Health 2018
Slide7Access to CareRight Care Level of care; evidence based or promising; responding to patients needs and desiresRight TimeWhen needed and desiredRight PlaceWhere the person can be – bring services to the person!Coordinate CareReduce unneeded utilizationHEDIS Measures (Healthcare Effectiveness Data and Information Set) for Behavioral Health
Identify Metrics for Value
Slide8https://www.thenationalcouncil.org/wp-content/uploads/2016/11/VBP-Planning-Guide_FINAL-1.pdf