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Related Experiment Videos

Performance incentives in the Massachusetts behavioral health program.

Nancy E Lane1

  • 1Massachusetts Behavioral Health Partnership, Boston, MA 02110, USA. nancy.lane@valueoptions.com

Administration and Policy in Mental Health
|April 23, 2005
PubMed
Summary

The Massachusetts Behavioral Health Partnership (MBHP) uses performance incentives to improve behavioral health services for the Primary Care Clinician (PCC) Plan. This collaborative approach ensures contracts meet evolving member needs and state policies.

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Area of Science:

  • Health Services Research
  • Public Health Policy
  • Behavioral Health Management

Background:

  • The Massachusetts Behavioral Health Partnership (MBHP) has served as the behavioral health carve-out vendor for the Commonwealth of Massachusetts Primary Care Clinician (PCC) Plan since 1996.
  • Performance standards and incentives are central to the program's operations and relationship between the Commonwealth and MBHP.

Purpose of the Study:

  • To describe the collaborative process for developing and implementing performance incentive projects within the MBHP program.
  • To evaluate the impact and evolution of performance incentive projects from 1996 to 2004.

Main Methods:

  • A participative process involving annual suggestion generation for performance incentives.
  • Negotiation of incentives between the Commonwealth and MBHP.

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  • Objective measurement of project success or failure.
  • Review of 123 completed performance projects between 1996 and 2004.

    • Main Results:

    • 123 performance projects were completed between 1996 and 2004.
    • Some projects evolved into contract requirements, programs, or services.
    • The process blended traditional performance standards with performance-based contracting.

    Conclusions:

    • The performance incentive process provides flexibility for adapting to changing state policies.
    • This approach allows for the development of contracts that address the current needs of plan members.
    • The collaborative model has successfully integrated performance management into behavioral health service delivery.