While the demand for behavioral health services continues to extend the capacity of the health care system, it is more obvious than ever that solutions will require innovation, collaboration and confidence.
We have shown that here, in the Rhode Island, where the largest psychiatric hospital in the state for children and the largest state insurer and local worked more and more together to extend access to care For Rhode Islanders.
At Bradley and Blue Cross & Blue Shield Rhode Island (BCBSRI) hospital, we have joined various initiatives to create a community care system that focuses on prevention and early intervention. With a shared vision – which seeks to overcome the work shortages of the industry and to maintain affordability – we find solutions to help individuals and families of Rhode Island access better mental health care.
In the recent Behavioral health technology conferenceWe have associated ourselves with sharing some of the lessons we have learned and the achievements we have made. They include the following elements:
Reduce the administrative burden
In 2018, BCBSRI launched the first in a series of cutting -edge steps to eliminate the previous authorization requirements for mental health and the treatment of substances consumption, save time and money for everything The world. The greatest winners were the patients.
When patients “on board” the emergency department await care for hospitalized patients, this is stressful for them and their families, expensive for payers and operational operating providers. The abolition of the previous authorization has contributed to creating a more effective and human system.
Adopt economic innovations (and finance them in a sustainable manner)
There are exciting pockets of innovation everywhere, but funding them in a sustainable way is difficult when they do not correspond to established approaches and billing codes. With Spectacular increase in infant anxietyBradley hospital has recently developed A team care model for an obsessive disorderwhere the providers trained can complete clinicians by working under the supervision of approved psychologists.
BCBSRI has seen the potential of the program to considerably expand access to proofs based on evidence and developed the reimbursement of these non -clinical suppliers. With this additional financial support, Bradley was able to win a Subsidy of $ 11 million from the National Research Institute on Patient Centered Results For the expansion and evaluation of the different treatment methods.
Thinking beyond the walls of the office of the hospital / therapist
Medical care represents only 10 to 20% of a person’s health and well-being. What would this be like if we reimburse mental health care for young people as if social factors, such as the school environment, also count? Bradley and Bcbsri began to do so.
BCBSRI now reimburses that children spend intensive treatment programs at Bradley in “transition days” at school, recognizing that school is a place where less intensive treatment can be dispensed. The successful reintegration of school students can improve long -term results and, we hope, reduce the need for future care.
Facilitate and support the training of suppliers
THE Verrecchia clinicWhich is part of the Center for Autism and Development Disorders of Bradley Hospital, has developed an 18 -month training program for community suppliers in order to modify the treatments for children and young people of neurodriveses. It is an important program that will help countless young people from Rhode Island, but we know that for providers in private or community outpatient, time is money and it is difficult to take time for See patients for this type of training.
This is why BCBSRI provides an hourly allowance of $ 100 for suppliers to attend this training. This is another example of how to do the right thing – expand access to quality care near you – can ultimately be the effective thing, allowing more children to receive care in community environments less acute.
We know that there is much more work to do, but these efforts underline how suppliers, payers and others have committed to improving behavioral health care, and trusting each other, can collaborate to new innovative approaches to extend access to care and better support the mental health needs of Rhode Islanders.
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