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CMS to Explore New Behavioral Health Payment Model—Open Forum Scheduled September 8

August 03, 2017

The Centers for Medicare & Medicaid Service (CMS) announced interest in launching a new payment model for behavioral health services. The new model would seek to improve health care quality and access, while lowering the cost of care, for Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) enrollees with behavioral health conditions.

To gather input, CMS is holding a public forum on Friday, September 8, 2017, at the CMS Central Office in Baltimore, Maryland. Community health organizations, medical societies, health care providers, state Medicaid agencies, advocacy groups, non-profit organizations, and other interested parties are invited to participate. Registration is required, and attendance is limited to the space available.

According to CMS, the new payment model may be designed to:

  • Address substance use disorders, mental disorders in the presence of co-occuring conditions, and Alzheimer’s disease and related dementias
  • Address the needs of beneficiaries with deficits in care leading to poor clinical outcomes or potentially avoidable expenditures
  • Include participation by payors other than Medicare, Medicaid, and CHIP
  • Improve health care provider participation in telehealth services
  • Address behavioral health workforce challenges

Stakeholders are invited to ask questions. Comments are limited to brief (two minutes or less) individual statements.

The recommendations provided during this meeting will help CMS’ Center for Medicare & Medicaid Innovation explore the possibility of designing a model test to address behavioral health service delivery and payment.

HAP is monitoring this and other efforts to better align payment systems to support patient-centered practices.

For more information about HAP’s advocacy related to innovative payment models and value-based payments, contact Kathryn Slatt, HAP’s senior director, health finance policy. For more information about HAP’s advocacy related to behavioral health service delivery, contact Jennifer Jordan, HAP’s vice president regulatory advocacy.

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