Understanding and Preparing for Value-Based Care: A Primer for Behavioral Health Providers

Nan E. Rothrock; Nick Bott; Susan Douglas; Elizabeth W. McKune; Nicole Owings-Fonner; Dylan Ross; Kari A. Stephens; David Bard; Bruce L. Bobbitt; Amber W. Childs; Ann M. Doucette; Kimberly A. Hepner; Margaret Lanca; Kathleen Lysell; Caroline Vaile Wright

doi:10.1037/pro0000537

Understanding and Preparing for Value-Based Care: A Primer for Behavioral Health Providers

Nan E. Rothrock^*, Nick Bott, Susan Douglas, Elizabeth W. McKune, Nicole Owings-Fonner, Dylan Ross, Kari A. Stephens, David Bard, Bruce L. Bobbitt, Amber W. Childs, Ann M. Doucette, Kimberly A. Hepner, Margaret Lanca, Kathleen Lysell, Caroline Vaile Wright

^*Corresponding author for this work

Medical Social Sciences

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Insurance companies and the Centers for Medicaid and Medicare Services are shifting from reimbursing health providers a fixed amount for a service to reimbursement based in part on patients’ outcomes. This approach is called value-based care (VBC) and includes a wide range of programs. Although the behavioral health providers that have been impacted by VBC to date are primarily those in larger health systems, use of VBC is expanding as payors seek to combat rising health care costs and increase transparency and accountability for health services. Thus, behavioral health providers need to know about VBC models and their impact as well as steps they can take to be better prepared for this shift.

Original language	English (US)
Pages (from-to)	68-78
Number of pages	11
Journal	Professional Psychology: Research and Practice
Volume	55
Issue number	1
DOIs	https://doi.org/10.1037/pro0000537
State	Published - Nov 20 2023

Keywords

implementation
performance measures
quality measures
reimbursement models
value-based care

ASJC Scopus subject areas

General Psychology

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10.1037/pro0000537

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Rothrock, N. E., Bott, N., Douglas, S., McKune, E. W., Owings-Fonner, N., Ross, D., Stephens, K. A., Bard, D., Bobbitt, B. L., Childs, A. W., Doucette, A. M., Hepner, K. A., Lanca, M., Lysell, K., & Wright, C. V. (2023). Understanding and Preparing for Value-Based Care: A Primer for Behavioral Health Providers. Professional Psychology: Research and Practice, 55(1), 68-78. https://doi.org/10.1037/pro0000537

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title = "Understanding and Preparing for Value-Based Care: A Primer for Behavioral Health Providers",

abstract = "Insurance companies and the Centers for Medicaid and Medicare Services are shifting from reimbursing health providers a fixed amount for a service to reimbursement based in part on patients{\textquoteright} outcomes. This approach is called value-based care (VBC) and includes a wide range of programs. Although the behavioral health providers that have been impacted by VBC to date are primarily those in larger health systems, use of VBC is expanding as payors seek to combat rising health care costs and increase transparency and accountability for health services. Thus, behavioral health providers need to know about VBC models and their impact as well as steps they can take to be better prepared for this shift.",

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author = "Rothrock, {Nan E.} and Nick Bott and Susan Douglas and McKune, {Elizabeth W.} and Nicole Owings-Fonner and Dylan Ross and Stephens, {Kari A.} and David Bard and Bobbitt, {Bruce L.} and Childs, {Amber W.} and Doucette, {Ann M.} and Hepner, {Kimberly A.} and Margaret Lanca and Kathleen Lysell and Wright, {Caroline Vaile}",

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year = "2023",

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doi = "10.1037/pro0000537",

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Rothrock, NE, Bott, N, Douglas, S, McKune, EW, Owings-Fonner, N, Ross, D, Stephens, KA, Bard, D, Bobbitt, BL, Childs, AW, Doucette, AM, Hepner, KA, Lanca, M, Lysell, K & Wright, CV 2023, 'Understanding and Preparing for Value-Based Care: A Primer for Behavioral Health Providers', Professional Psychology: Research and Practice, vol. 55, no. 1, pp. 68-78. https://doi.org/10.1037/pro0000537

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AU - Ross, Dylan

AU - Stephens, Kari A.

AU - Bard, David

AU - Bobbitt, Bruce L.

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AB - Insurance companies and the Centers for Medicaid and Medicare Services are shifting from reimbursing health providers a fixed amount for a service to reimbursement based in part on patients’ outcomes. This approach is called value-based care (VBC) and includes a wide range of programs. Although the behavioral health providers that have been impacted by VBC to date are primarily those in larger health systems, use of VBC is expanding as payors seek to combat rising health care costs and increase transparency and accountability for health services. Thus, behavioral health providers need to know about VBC models and their impact as well as steps they can take to be better prepared for this shift.

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Understanding and Preparing for Value-Based Care: A Primer for Behavioral Health Providers

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