What We Do >
CBHN works to improve the health outcomes of those with mental health and substance abuse disorders, and to improve the quality and efficiency outcomes of the providers who care for them.
Accomplishing this means assisting providers in making the shift to a value-based payment (VBP) system, which replaces the traditional fee-for-service model with one that rewards performance – measured by quality and efficiency standards. New York State has developed aggressive goals for moving its Medicaid managed care payments to VBP arrangements. Many individual providers, however, will find it difficult, if not impossible, to enter into such arrangements on their own.
As an independent practice association (IPA), CBHN serves as a vehicle for value-based payment contracting for those organizations that are members of the IPA. CBHN will negotiate contracts on behalf of its members and help members to manage contractual expectations around outcomes. Data will be collected from and shared with members to track performance, so that members can make changes to services in real time to improve outcomes. Further, CBHN provides its members with the quality management and education tools they need to participate in VBP contracts, and to realize the best health outcomes for their patients and the best service outcomes for their organizations that relate to quality and cost of care.
Contracting
Strength in Numbers. As the vehicle for VBP contracting, CBHN can leverage the size of the network when negotiating contracts with third parties.
Accessibility. CBHN members can participate in VBP contracts that would otherwise be inaccessible to them.
High Standards. VBP contracts include agreed-upon performance standards that drive high quality outcomes.
Quality Management/Data Synthesis
Data Warehouse. CBHN will facilitate electronic linkages between members and a common data warehouse, so that data can be stored and analyzed to track outcomes.
Data Analytics. CBHN will synthesize data, creating regular reports and monitoring members’ performance toward established quality standards and cost goals.
The Big Picture. Utilization and performance data will be used to identify trends and areas of opportunity to improve quality of care and reduce the cost of care.
Education
Keeping You Up-to-Date. CBHN will provide members with ongoing updates about VBP and the impact of Medicaid reform on mental health and substance abuse providers.
For Your Information. CBHN will share links to articles about newly identified best practices and other relevant topics.