![]() ![]() “We are looking at how to work with our providers to incent quality services that recognize the importance of continuity of care, while offering the provider flexibility in service delivery, and recognizing that it takes partnership with the payers and thinking about things holistically.”Īnthem has been working with an organization called the Alliance for Addiction Payment Reform for several years, Bailly said, to create a framework to be able to leverage services such as peer recovery support and care coordination. ![]() “The industry has been very ingrained in a fee-for-service reimbursement approach, and it can get very frustrating to break down some of those barriers, and some of those really old habits of maximization of reimbursement,” he said. He added that the shift to value-based arrangements has not been without its challenges. “What really drives that is attempting to improve a couple of different things: primarily, quality of treatment services that are delivered, and then the patient experience, and then of course, cost efficiencies as well,” he said. ![]() One of the speakers was Eric Bailly, business solutions director, substance use disorder strategy, for Anthem Inc., which recently completed an acquisition of Beacon Health Options, the largest independently held behavioral health organization in the country, serving more than 36 million people across all 50 states. The acquisition offers Anthem the opportunity to combine its current behavioral health capabilities with Beacon’s model and support services in order to enhance whole-person care.īailly, who is also a licensed professional counselor and a licensed alcohol and drug counselor, said that Anthem, as it integrates its services with Beacon, is looking for opportunities to transition to value-based reimbursement. A March 15 panel discussion hosted by the World Congress looked at how payers and providers are aligning incentives in this space and some of the barriers to change. Even before the pandemic put an increased burden on behavioral health providers, forward-thinking organizations were developing value-based arrangements in behavioral health to give provider networks the tools they need to address whole-patient care. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |