Neal Bowen NMBHPA August 13, 2018

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Presentation transcript:

Neal Bowen NMBHPA August 13, 2018 VBP & Integrated Care Neal Bowen NMBHPA August 13, 2018

The Plan “Please excuse the long letter, I didn’t have time to write a short one.” Pascal, Twain, or Cicero… Basic Concepts Why Integration Challenges for providers Pretty much every slide is ‘borrowed’ from a presentation

Basic Concepts

BCBS in NM

Why Integrated Care? The IHI Triple Aim The IHI Triple Aim is a framework developed by the Institute for Healthcare Improvement that describes an approach to optimizing health system performance. It is IHI’s belief that new designs must be developed to simultaneously pursue three dimensions, which we call the “Triple Aim”: Improving the patient experience of care (including quality and satisfaction); Improving the health of populations; and Reducing the per capita cost of health care.

The Four Quadrant Clinical Integration Model (MH/SU) Citation: Mauer, Barbara J.. “Behavioral Health/Primary Care Integration and the Person Centered Healthcare Home”. April 2009. The National Council for Behavioral Health Care. [date accessed]

Challenges

Movement from FFS to Capitation

BCBS NM