- Stephanie Gold, MD, Scholar, Eugene S. Farley, Jr. Health Policy Center, Aurora, CO
- Alison Shmerling, MD, MPH, Assistant Professor, University of Colorado Department of Family Medicine, Aurora, CO
- Emma Gilchrist, MPH, Deputy Director, Farley Health Policy Center, University of Colorado Anschutz Medical Campus, Aurora, CO
- Benjamin Miller, PsyD, Chief Strategy Officer, WellBeing Trust, Oakland, CA
Experts with a broad range of experience and background were interviewed regarding barriers and solutions to integrated care. Their responses related to financing integrated care were analyzed for themes. There was consensus that the current fragmented, fee-for-service system with inadequate baseline reimbursement significantly hinders progression towards integrated behavioral health and primary care. Funding is needed both to support integrated care and to facilitate the transition to a new model. Multiple suggestions were offered regarding interim solutions to move towards an integrated model and ultimately global payment.
- Identify financial barriers to integrated behavioral health.
- Describe potential interim and long-term solutions to financing integrated care.
- Discuss pros and cons of different payment models for integrated behavioral health.
- Gold, S.B. Green, L.A. (2018). Integrated Behavioral Health in Primary Care: Your Patients are Waiting. Cham, Switzerland: Springer Publishing.
- Miller, B.F., Ross, K.M., Davis, M.M., Melek, S.P., Kathol, R., & Gordon, P. (2017). Payment Reform in the Patient-Centered Medical Home: Enabling and Sustaining Integrated Behavioral Health Care. American Psychologist, 72(1), 55-68.
- Monson, S.P., Sheldon, J.C., Ivey, L.C., Kinman, C.R., & Beacham, A. O. (2012). Working Toward Financial Sustainability of Integrated Behavioral Health Services in a Public Health Care System. Families, Systems & Health, 30(2):181-186. €¨
- Basu, S., Landon, B.E., Williams, J.W., Bitton, A., Song, S., & Phillips, R.S. (2017). Behavioral Health Integration into Primary Care: A Microsimulation of Financial Implications for Practices. Journal of General Internal Medicine,32(12): 1330-1341
- Freeman, D.S., Manson, L., Howard, J., & Hornberger, J. (2018). Financing the Primary Care Behavioral Health Model. Journal of Clinical Psychology in Medical Settings, 25(2):197- 209. €¨