From Volume to Value

Value-Based Payment

Value–based payment places the focus on participant outcomes instead of billable hours. This requires carefully monitoring the effectiveness of treatment, and using data to determine whether services helped participants meet their desired goals.

We recently worked with Open Minds, a national organization that assists human service payers and providers with management knowledge to improve efficiency and effectiveness.

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  • A brief  Summary Memo was one result of the project. It was created to help us consider how to pilot–test alternative payment methods with some types of Levy grantees.
  • Open Minds also provided assistance by creating creating a webinar in three-parts to explain value-based payment and challenge our thinking about ways to go beyond paying for services, and instead consider levy funds as an investment in participant well-being.

Value-Based Purchasing: Part 1

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Value-Based Purchasing: Part 2

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Value-Based Purchasing: Part 3

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Collaborative Planning

In the near future we intend to pilot some value-based payment projects using a collaborative process. Providing efficient and effective care means looking carefully at the quality and value of care for the persons we are responsible for serving, and whether participants have long-term benefit from Levy-funded services.  We want to see if value-based payment can help achieve those goals.

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Why We Are Exploring These Ideas

Public dollars must be used effectively. Access to care for our diverse community is difficult and funds are limited. From all indications, the number of under- and uninsured persons is likely to stay the same, or even increase. We are not making immediate changes in our billing and demographic systems. But we are actively involved in planning new approaches that could change the way services are reimbursed, and could create incentives for quality care.

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Managing in a Time of Rapid Change

In 2014-2015 we worked with the National Council on Behavioral Healthcare  (NCBH), to actively plan for the future.  An in-depth study produced a Report from surveys and focus groups, and an Executive Summary.  A Future-Oriented Planning Presentation by NCBH and Levy staff to the Board of Trustees was also created. It explores value-based care in our rapidly changing field.

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