Value-Based Contracting
The OPEN MINDS 2024 Innovation Survey reveals that the biggest increase in value-based contracting was in care coordination models. By 2025, over 60% of healthcare payments will be tied to performance-based incentives, with behavioral health playing a key role. Every behavioral health provider needs the know-how to participate in value-based arrangements. Our value-based contracting resources offer the opportunity to optimize participation and performance in value-based arrangements including knowledge and information exchange about best practices for successful collaborations, contract negotiations, reimbursement valuations, member engagement, metric management, and more.
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The OPEN MINDS Value-Based Reimbursement Readiness Assessment Checklist
The move to value-based reimbursement (VBR) across the health and human services industry has become a driving force across both public and private sector organizations, not only forcing new operating […]
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Getting To Preferred
By Monica E. Oss, Chief Executive Officer, OPEN MINDS There was quite a lot of discussion of health plan partnerships last week at our 2022 OPEN MINDS Strategy & Innovation Institute. Hossam Mahmoud, […]
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Improving Behavioral Health Systems Through Operational Integration: Efforts In San Mateo County
By California Health Care Foundation Californiaâs Medi-Cal delivery system is fragmented. In Medi-Cal, managed care plans are responsible for physical health care and some mental health services, while plans run […]
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Measuring PerformanceâData Integration Matters
By Monica E. Oss, Chief Executive Officer, OPEN MINDS Most provider organization executive teams donât have an option for what performance metrics they report to their payersâwhether states, counties, employers, […]
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Louisiana Awards Medicaid Managed Care Contracts With Enhanced Focus On Behavioral Health Integration
By OPEN MINDS Circle On February 11, 2022, the Louisiana Department of Health (DOH) announced its intent to award Medicaid managed care organization (MCO) contracts to five MCOs: CVS/Aetna Better […]
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CMS Approves CalAIM Medicaid Waiver
By OPEN MINDS Circle On December 29, 2021, the Centers for Medicare & Medicaid Services (CMS) approved the California Advancing and Innovating Medi-Cal (CalAIM) Medicaid waiver amendment and renewal for […]
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The “Ideal” Health Home?
By Monica E. Oss, Chief Executive Officer, OPEN MINDS As we look ahead to 2022âwith more integration and more value-based care, the question is how do specialty provider organizations âfitâ […]
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Tennessee Announces Intent To Award Next Medicaid MCO Contracts To Incumbents; Contracts Include Changes In Coverage Options For Consumers With I/DD
By OPEN MINDS Circle On November 8, 2021, the Tennessee Division of TennCare announced intent to award Medicaid managed care organization (MCO) contracts to incumbents Anthem/Amerigroup Tennessee, Blue Cross Blue […]
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Anthem Selects Somatus To Deliver Personalized, Value-Based Kidney Care
By OPEN MINDS Circle On November 3, 2021, Somatus, which provides a value-based kidney care management model, announced it entered a long-term, multi-year partnership with Anthem, Inc. Somatus began providing […]
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NCQA Accredits Somatusâ Kidney Care Management For Population Health & Case Management
Somatus, which provides value-based kidney care, was awarded the National Committee for Quality Assuranceâs (NCQA) Population Health Program (PHP) and Case Management (CM) Accreditations. Somatus is the only value-based kidney […]