Alternative Payment Models

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References 34 Unützer, J., Chan, Y.F., Hafer, E., Knaster, J., Shields, A., Powers, D., & Veith, R.C. (2012). Quality improvement with 43 HEDIS (2017). Summary Table of Measures, Product Lines and Changes. 2. pay-for-performance incentives in integrated behavioral health care. American Journal of Public Health, 102(6), e41-e45. 44 Douglas, M. D., Xu, J., Heggs, A., Wrenn, G., Mack, D. H., & Rust, G. (2016). Assessing Telemedicine Utilization by Using 35 Bao, Y., McGuire, T.G., Chan, Y.F., Eggman, A.A., Ryan, A.M., Medicaid Claims Data. Psychiatric Services, 68(2), 173-178. Bruce, M.L., Pincus, H.A., Hafer, E. and Unützer, J. (2017). Value-based payment in implementing evidence-based care: 45 Centers for Medicare & Medicaid Services (CMS) (2016). the Mental Health Integration Program in Washington state. Medicare Program; Revisions to Payment Policies Under The American Journal of Managed Care, 23(1), 48. the Physician Fee Schedule and Other Revisions to Part B for CY 2017. Federal Register 81, 80170-80562. 36 Press, M.J., Howe, R., Schoenbaum, M., Cavanaugh, S., Marshall, A., Baldwin, L., & Conway, P.H. (2017).Medicare payment for behavioral health integration. New England Journal of Medicine, 376(5), 405-407. 46 O’Donnell, A.N., Williams, M., & Kilbourne, A.M. (2013). Overcoming roadblocks: current and emerging reimbursement strategies for integrated mental health services in primary care. Journal of general internal medicine, 28(12), 1667-1672. 37 Dundon, M. & Dollar, K. Primary Care-Mental Health Integration Co-Located, Collaborative Care: An Operations Manual. (2011). 47 Hussey, P.S., Mulcahy, A.W., Schnyer, C., & Schneider, E.C. (2012). Closing the quality gap: revisiting the state of the 38 Dundon, M. & Dollar, K. Primary Care-Mental Health Integration Co-Located, Collaborative Care : An Operations Manual. (2011). science (vol. 1: bundled payment: effects on health care spending and quality). 39 Dundon, M. & Dollar, K. Primary Care-Mental Health Integration Co-Located, Collaborative Care : An Operations Manual. (2011). 48 National Council for Behavioral Health (2014). Case Rate Toolkit: Preparing for Bundled Payments, Case Rates, and the Triple Aim. 40 Rosenheck, R., Mueser, K.T., Sint, K., Lin, H., Lynde, D.W., Glynn, S.M., Robinson, D.G., Schooler, N.R., Marcy, P., Mohamed, S., Kane, J.M. Supported Employment and Education in Comprehensive, Integrated Care for First 49 National Council for Behavioral Health (2014). Creeping and Leaping from Payment for Volume to Payment for Value: An Update on Behavioral Healthcare Payment Reform. Episode Psychosis: Effects on work, school, and disability income. Schizophr Res. 2017 Apr;182:120-128. doi: 10.1016/j. 50 King County. King County Behavioral Health Organization schres.2016.09.024. Epub 2016 Sep 23. Policies and Procedures (2017). Available at: http://www. kingcounty.gov/depts/community-human-services/mental- 41 NIMH Recovery After an Initial Schizophrenia Episode health-substance-abuse/for-providers/policies-procedures.aspx. (RAISE) study on coordinated specialty care: https://www. nimh.nih.gov/health/topics/schizophrenia/raise/index.shtml 51 Unützer, J., Katon, W., Callahan, C.M., Williams Jr, J.W., Hunkeler, E., Harpole, L., Hoffing, M., Della Penna, R.D., Noël, P.H., 42 Vigod, S.N., Kurdyak, P.A., Dennis, C.L., Leszcz, T., Taylor, V.H., Blumberger, D.M., & Seitz, D.P. (2013). Transitional interventions to reduce early psychiatric readmissions in adults: systematic Lin, E.H. and Areán, P.A. (2002). Collaborative care management of late-life depression in the primary care setting: a randomized controlled trial. Jama, 288(22), 2836-2845. review. The British Journal of Psychiatry, 202(3), 187-194. Payment Reform and Opportunities for Behavioral Health: Alternative Payment Model Examples 21
Page 1 and 2: Payment Reform and Opportunities fo
Page 3 and 4: Payment Reform and Opportunities fo
Page 5 and 6: Authors Amanda Mauri, M.P.H. Ph.D.
Page 7 and 8: Behavioral health is also often abs
Page 9 and 10: • Value-based payments (VBP): VBP
Page 11 and 12: Alternative Payment Models Case Rat
Page 13 and 14: We also recommend considering the b
Page 15 and 16: Telehealth As technology for telehe
Page 17 and 18: ACO at Risk for Behavioral Health C
Page 19: References 1 Moses, H., Matheson, D
Page 23: The Scattergood Foundation believes

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