1. Neal A. Bowen, PhD Hidalgo Medical Services
VBP: Quick Start
Neal A. Bowen, PhD
Hidalgo Medical Services

2. Why integrated care?

3. Why Value Based Purchasing
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
At the best:
Align incentives with the health care system we deserve
Better population health; reduced disparities; better care; happier staff; lower costs
Why Value Based Purchasing

4. How to Integrate? Culture Change Bidirectional
Who keeps track of a person’s whole health needs? Who’s in charge?
Bidirectional
Through Care Coordination
Sustainably
Policy: Teaming Benefit
Policy: BH Providers paid for interventions
How to Integrate?

5. MAHP 2.0

6. Align Incentives with Goals
John Talbot, Jefferson Center for Mental Health 2018

7. Identify Metrics for Value
Access to Care
Right Care
Level of care; evidence based or promising; responding to patients needs and desires
Right Time
When needed and desired
Right Place
Where the person can be – bring services to the person!
Coordinate Care
Reduce unneeded utilization
HEDIS Measures (Healthcare Effectiveness Data and Information Set) for Behavioral Health
Identify Metrics for Value

8. https://www. thenationalcouncil