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Date/Time
Date(s) - Monday, March 14, 2016, 12:00 PM - 1:15 PM

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 Objectives for the Meeting

  • Learn about how one health system has incorporated value-based payment approaches in behavioral health to improve quality and population health.
  • Understand areas where alternative payment approaches have resulted in measurable improvement in member outcomes and supported health care savings.
  • Explain some of the challenges that inhibit the movement towards alternative-based payments and potential solutions.

 Agenda

  • Opening Remarks – Anne Gauthier
  • Guiding Committee Welcome – Bill Golden, MD
  • Panelist Introductions – Andrew Sperling
  • Panel: Behavioral Health Services and APMs
    • Deb Adler – Optum
    • Henry Chung, MD – Montefiore Care Management Organization & Montefiore Accountable Care Organization
    • Don Fowls – Don Fowls and Associates & Maricopa County, AZ
  • Facilitated Discussion – Bill Golden, MD
  • LAN Next Steps – Bill Golden, MD

Summary

The Health Care Payment Learning and Action Network (LAN) hosted a webinar on March 14, 2016 to discuss the current landscape, lessons learned, and best practices in the effective integration of alternative payment models (APMs) in behavioral health settings. The webinar panelists included LAN committed partners Deborah Adler of Optum Health who described Optum’s Achievements in Clinical Excellence program that rewards providers for collaboration, better patient outcomes, and improved cost efficiency, Don Fowls from Arizona Regional Behavioral Health Authority who spoke about reshaping the way in which providers are reimbursed for services, and Henry Chung of Montefiore Health System who described Montefiore’s progress towards adopting value-based payment models. The panelists entertained comments and questions from the audience on topics such as risk arrangements and shared savings for improved outcomes in behavioral health patients with high medical service use, and how APMs may effect office based behavioral health providers rendering outpatient care versus inpatient care.

Slides

To achieve the goal of better care, smarter spending, and healthier people, the U.S. health care system must substantially reform its payment structure to incentivize quality, health outcomes, and value over volume. The Health Care Payment Learning and Action Network (LAN) was established as a collaborative network of public and private stakeholders, including health plans, providers, patients, employers, consumers, states, federal agencies, and other partners within the health care community.

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