Innovation In Behavioral Health (IBH) Model

State Medicaid Agencies can capitalize on a new, evidence-based opportunity to design better behavioral health systems.
United States Food, Drugs, Healthcare, Life Sciences
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State Medicaid Agencies can capitalize on a new, evidence-based opportunity to design better behavioral health systems.

The Opportunity

The US is facing a behavioral health (BH) crisis. CMS identifies coordination as a weak point that, if effectively addressed, may improve the underlying issues. Eight states will be awarded funding of up to $7.5M over eight years to enhance planned or existing infrastructure. This funding represents a small part of the value inherent in this opportunity, with greater impact possible from early adoption of a system-changing model (including enhanced Medicare reimbursement and better outcomes).

Focus areas include:

  1. Payer alignment
  2. Technology enhancement
  3. BH-primary care integration
  4. Value-based reimbursement
  5. Better payment structures for the dually eligible

Originally published 9 July 2024

The content of this article is intended to provide a general guide to the subject matter. Specialist advice should be sought about your specific circumstances.

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