Better manage risk, costs & outcomes with true behavioral health integration
COVID-19 has stretched the healthcare industry in new and challenging ways. Primary care and other providers continue to do their best to care for increasingly complex cases – including managing more behavioral health conditions than ever before. At the same time, health plans are trying to ensure members get all the care they need without incurring unsustainable budget overruns.
True behavioral health integration offers health plans a tremendous opportunity to improve member outcomes, better predict risk and contain costs. By embedding behavioral health tools within physical medicine practices across the care continuum, health plans also can create win-win relationships with both their members and their value-based care provider groups.
Here’s why: Research shows members with chronic medical and mental health conditions or substance use disorders (SUDs) have substantially higher medical costs than members without behavioral health conditions. But health plans that equip providers with collaborative behavioral health integration technologies enable a preventive approach, offering members access to behavioral health services before costly specialty care becomes necessary. Programs such as tech-enabled behavioral health integration (tBHI™) and tech-enabled psychiatric collaborative care (tCoCM™) also make it easy for health plans to measure treatment efficacy and member outcomes.
Health plans can approach tBHI™ or tCoCM™ in two unique ways: through VBC focused provider partners or at the member population level. Both address collaboration and behavioral health management in critical ways. However, the value-based care approach presents a unique opportunity to serve as a connector between members, providers, care management teams and your health plan. Here are some additional benefits health plans can expect from arming their value-based care program partners with a comprehensive tBHI™ or tCoCM™ solution:
#1: Enable preventive care
A tBHI™ or tCoCM™ solution that enables virtual assessments helps primary care teams identify members who may benefit from behavioral health assistance. On top of enhancing member satisfaction and outcomes, this approach allows health plans to achieve greater overall savings by encouraging less costly, proactive member care.
#2: Simplify clinical coordination workflows
Primary care and other physical medicine providers are often wary when it comes to behavioral health. Successful tBHI™ and tCoCM™ programs help physicians confidently screen members, knowing there’s a smooth hand-off to appropriate in-network behavioral health specialists when needed. Providers enjoy the satisfaction of helping members receive the most appropriate care.
#3: Improve healthcare and business outcomes
Health plans and their value-based care partners share similar goals – better health outcomes at lower costs. By using a tBHI™ or tCoCM™ solution equipped with risk stratification capabilities, it’s easier to proactively manage member populations, keeping members healthier and intervening before costly situations occur.
By investing in a comprehensive tBHI™ or tCoCM™ program, health plans can empower the value-based care partners within their networks to overcome burdens accentuated by COVID-19. In turn, tBHI™ and tCoCM™ are proven to reduce the cost of care for health plans while motivating member engagement, improving member outcomes and enriching the member experience. Stay tuned for more details on a population health approach to tBHI™ and tCoCM™, or contact us to request a demo today!