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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Establishing The Right Set Of Health Plan Contracts – The Right Plans, The Right Services, The Right Rates
By Joe Naughton-Travers, Senior Associate & Executive Editor, OPEN MINDS The reach of health plans is increasing, and specialty provider organizations are paying attention. More complex populations are moving to […]
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Navigating With The Health Plan Perspective In Mind
By Monica E. Oss, Chief Executive Officer, OPEN MINDS The policies and practices of health plans are a driver of health and human service delivery systems in most markets. Managed […]
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Beyond The ACO – Building An Integrated System Of Care (ISOC) To Maximize Value-Based Performance – Sponsored By Alera Health
This presentation, sponsored by Alera Health, took place at The 2023 OPEN MINDS Performance Management Institute. Attendees learned what defines an ISOC, how it is supported, and how MCO/payers are […]
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If Data Is The Path To VBR, Technology Is The Guide
By Monica E. Oss, Chief Executive Officer, OPEN MINDS Technology is one of the issues that keeps chief executive officers (CEOs) up at night. Creating a hybrid service delivery system […]
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Finding The New Market Space
By Monica E. Oss, Chief Executive Officer, OPEN MINDS Over the course of the past three years, the expansion of the health plan footprint in the field has increased. Health […]
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New Mexico Releases Medicaid Managed Care RFP For Turquoise Care
By OPEN MINDS Circle On September 30, 2022, the New Mexico Human Services Department (HSD) released a request for proposals (RFP) for Medicaid managed care organizations (MCOs) for its upcoming […]
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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 California’s 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 Performance—Data Integration Matters
By Monica E. Oss, Chief Executive Officer, OPEN MINDS Most provider organization executive teams don’t have an option for what performance metrics they report to their payers—whether states, counties, employers, […]