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Supporting Physical-Behavioral Health Integration Using Medicaid Managed Care Organizations
Ashley Palmer1,2, Anne Rossier Markus3
1IBM Watson Health, 7700 Old Georgetown Road, Bethesda, MD, 20814, USA. Apalm04@yahoo.com.
Administration and Policy in Mental Health
|October 31, 2019
Summary
Two states integrated physical and behavioral health services via Medicaid managed care contracts. Key findings show leveraging data, incentivizing care coordination, and promoting innovation are crucial for successful integration.
Area of Science:
- Health Services Research
- Health Policy
- Managed Care
Background:
- Integrating physical and behavioral health services is a growing priority in healthcare.
- Medicaid managed care organizations (MCOs) are key players in service delivery.
- Two states explored innovative approaches to achieve this integration.
Purpose of the Study:
- To identify effective strategies for MCOs to improve physical and behavioral health integration.
- To understand the role of Medicaid managed care in facilitating integrated care models.
- To explore promising practices for enhancing healthcare delivery.
Main Methods:
- Analysis of key findings from two states implementing integrated care models.
- Examination of MCO strategies for service delivery and beneficiary support.
- Review of state-level initiatives to promote integrated care.
Main Results:
- Leveraging MCO data to support providers and enhance case management.
- Incentivizing MCOs to reimburse for care coordination and collocated services.
- Providing protections for providers and beneficiaries within integrated systems.
- Promoting stakeholder innovation in the absence of a unified vision.
Conclusions:
- Successful integration requires strategic use of MCO data and financial incentives.
- Provider and beneficiary protections are essential for effective integrated care.
- State-led promotion of innovation can drive progress in healthcare integration.
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