MHNR Network, LLC
Mental Health News Radio
Mental Health Business: Value Based Payment Solutions In Action
Mental Health Business: Value Based Payment Solutions In Action
Mental Health Business: Value Based Payment Solutions In Action
Thursday 28th March 2019
Explore value-based payment solutions in mental health with CEO Michael Boylan. Learn about contract negotiations, case management, and more.
40 minutes
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Get the buttons here!Navigating Payment Challenges in Mental Health Services
Episode Overview
- Transitioning from block payment to fee-for-service models.
- Importance of negotiating contracts with multiple insurers.
- Role of electronic health records in efficient claims processing.
- Developing a diversified payer strategy for stability.
- Integrating social determinants of health into case management.
"It's really good social work skills that come to play."
Ever wondered how mental health organisations manage the tricky business of payments and contracts? This episode of Mental Health News Radio takes you to Arizona, where Michael Boylan, CEO of Crisis Preparation and Recovery, shares the ups and downs of implementing value-based payment solutions in behavioural health.
Hosts Kristin Walker and Dave Ballenberger dive into the complexities of transitioning from a block payment model to a fee-for-service system, with Boylan explaining the challenges faced by mental health providers in dealing with multiple insurance companies. It's a fascinating peek into the administrative hurdles, like negotiating seven different contracts, and the strategies employed to ensure timely payment. Boylan also discusses the importance of having a diversified payer strategy and strong infrastructure to support this transition.
You'll hear about the role of electronic health records in smoothing out the process and how a robust system can make all the difference. The conversation shifts to the social determinants of health and how case management plays a vital role in improving patient outcomes. Boylan emphasises the need for behavioural health organisations to collaborate with primary care providers and social services to address barriers that affect patient well-being.
If you're curious about how these changes impact mental health services or are considering a career in this field, this episode is packed with insights. So why not give it a listen and discover how mental health organisations are navigating these payment challenges?