From Volume to Value
Arranging services and payment around participant outcomes, instead of billable hours, is a central concept in value-based care. It requires treatments that are evidence-based and that help achieve participants’ wishes and preferences. To know what works we must measure results and track them over time, then apply that learning to improve care.
Our Current Project led to a Video
We are working with Open Minds, a national organization that assists human service payers and providers with management knowledge to improve efficiency and effectiveness. One part of the project was creating a three-part video to explain value-based payment and challenge our thinking.
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.
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.
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.