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

2. 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

3. Basic Concepts

5. BCBS in NM

7. 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.

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

10. Challenges

12. Movement from FFS to Capitation

15. BCBS NM