SOURCE: OPEN MINDS

Open Minds

April 19, 2016 11:23 ET

15% of Behavioral Health Provider Organizations Participating in Value-Based Reimbursement: OPEN MINDS Survey Measures the Extent of Value-Based Contracting

GETTYSBURG, PA--(Marketwired - April 19, 2016) - While value-based reimbursement is currently a "hot topic" in the health and human services industry, finding reliable and accurate data about organizations that are currently involved is surprisingly difficult. The OPEN MINDS Market Intelligence team conducted their own survey to provide original, current, and reliable data on this important topic. The survey found that, while the majority of organizations have contracts with managed care organizations, most aren't yet operating under performance-based contracts. For those organizations with some type of pay-for-performance initiatives, the top performance measures are heavily represented with measures set on providing post-episode care management and follow-up, with a focus on reducing readmissions. And, executives reported that the impediments to successfully managing value-based reimbursements are related to technology -- and finding the funds needed for the necessary technology infrastructure investments.

"These survey results really speak to the long way many organizations have yet to go on their path to value-based contracting," explains Monica E. Oss, OPEN MINDS Chief Executive Officer. "There are some regions where health systems are 'all in' for value-based contracting. But the national picture is a bit more mixed. Our new survey gives a great snapshot of the current impact of value-based reimbursement on behavioral health and social service organizations. The short answer is that only 15% of behavioral health and social service provider organizations have some sort of value-based reimbursement. Despite the challenges we are seeing, it's important to understand that value-based payment models are moving ahead -- whether provider organizations are ready or not."

The survey asked health and human service provider organizations to indicate whether or not they are currently participating in a value-based reimbursement program. Those organizations that are participating were asked to provide details about their programs, including:

  • Percentage of revenue in value-based reimbursement arrangements
  • Type or model of their value-based reimbursement arrangement
  • Performance measure being reported that are tied to performance-based reimbursement
  • Biggest challenges they are facing to value-based reimbursement success

This was the first OPEN MINDS survey on performance-based reimbursement. The full survey results are reported in the recent OPEN MINDS feature article, Where Are Behavioral Health & Social Service Organizations With Value-Based Reimbursement? The Numbers Are In, part of the March 2016 edition of the OPEN MINDS Management Newsletter.

OPEN MINDS is a national strategic advisory firm specializing in the sectors of the health and human service industry serving individuals with complex support needs: mental health; addiction treatment; children & family services; intellectual & developmental disabilities; chronic disease management; long term care; social services; correctional health care, reentry & diversion; and juvenile justice.

Founded in 1987 and based in Gettysburg, Pennsylvania, the 75+ associates believe by providing the latest market intelligence and management best practices to organizations serving the health and social support needs of the most vulnerable consumers, those organizations will be better able to provide efficient and effective services. Learn more at www.openminds.com.

Contact Information

  • For additional questions and inquiries, please contact
    Angela McDonald
    Marketing Manager
    OPEN MINDS 
    717-334-1329
    openminds@openminds.com