Presenters
- Andrew Huff, LPC, Behavioral Health Innovation Specialist, CareOregon, Portland, OR
- Stacie Andoniadis, Substance Use Disorder Integration Program Manager, CareOregon, Portland, OR
- David Casey, LCSW, CADC II, Behavioral Health Consultant, Oregon Health & Science University, Deer Island, OR
Summary
Mixed payment has been key to the success of behavioral health clinicians in primary care. Mixed payment methods ensure that BHCs receive payment for services above and beyond fee-for-service. Learn more about non fee-for-service payment methods that are supporting primary care behavioral health.
Objectives
- Learn how a Medicaid payer has both led and adapted a value based primary care behavioral health payment to match changing medical home quality standards
- Discuss lessons learned in making value-based behavioral health in primary care payment work with reciprocal payer and provider partnerships focused on sustainability
- Examine models for incentivizing both generalist and targeted sub-population intervention for behavioral health in primary care
References
- Robinson, P., Oyemaja, J., Beachy, B., Goodie, J., Sprague, L., Bell, J., Maples, M., & Ward, C. (2018). Creating a primary care workforce: Strategies for leaders, clinicians, and nurses. Journal of Clinical Psychology in Medical Settings, 25(2), 169–186. https://doi.org/10.1007/s10880-017-9530-y
- Reiter, J.T., Dobmeyer, A.C. & Hunter, C.L. The Primary Care Behavioral Health (PCBH) Model: An Overview and Operational Definition. J Clin Psychol Med Settings 25, 109–126 (2018). https://doi.org/10.1007/s10880-017-9531-x
- Landoll, R.R., Maggio, L.A., Cervero, R.M. et al. Training the Doctors: A Scoping Review of Interprofessional Education in Primary Care Behavioral Health (PCBH). J Clin Psychol Med Settings 26, 243–258 (2019). https://doi.org/10.1007/s10880-018-9582-7
- Hunter, C.L., Funderburk, J.S., Polaha, J. et al. Primary Care Behavioral Health (PCBH) Model Research: Current State of the Science and a Call to Action. J Clin Psychol Med Settings 25, 127–156 (2018). https://doi.org/10.1007/s10880-017-9512-0
