Promoting some measure of accountability, through shared risk, shared savings, or a combination thereof, is a critical element to influence integration of physical and behavioral health services. By linking performance measures with financial incentives, states can align providers, including primary care, behavioral health and other specialists, as well as care management organizations, to common goals.
- Moving Toward Value-Based Payment for Medicaid Behavioral Health Services This brief describes how states and their contracted Medicaid managed care organizations are incorporating value-based payment arrangements into behavioral health programs.
- Serious Mental Illness Innovation Project Joint PH/BH Shared Savings Pool This technical assistance tool outlines the performance and outcome measures that are linked to potential shared incentive dollars in Pennsylvania’s Serious Mental Illness Innovation pilot project.
- Aligning Incentives in the Treatment of Depression in Primary Care With Evidence-Based Practice This article discusses financial incentives that are barriers to improved depression treatment in primary care settings. It discusses financial incentives that influence physicians’ treatment decisions and provides examples of the type of organizational changes that are necessary.
- Reimbursement of Mental Health Services in Primary Care Settings This SAMHSA report provides information on public insurance reimbursement and identifies policies that lead to financial barriers for integrated mental health and primary care.