Financing & Sustainability

Medicare Payment for Behavioral Health Integration External Link

Articles & Reports - January 19, 2017
The New England Journal of Medicine -

While integrating behavioral health care with primary care is now widely considered an effective strategy for improving outcomes for the many millions of Americans with mental or behavioral health conditions, uptake of behavioral health integration has remained limited, largely because it has not been paid for separately. On January 1, 2017, the Centers for Medicare and Medicaid Services will begin paying clinicians separately for the BHI services they provide to Medicare beneficiaries.

Payment for Important Work Gets Approved External Link

Articles & Reports - September 26, 2016
American Psychiatric Association's Psychiatric News -

Psychiatrists have long wondered how they could get paid for doing important collaborative care work. Earlier this year, the AMA approved a set of CPT codes that allow primary care practices to bill for collaborative care. These codes cover the work of mental health care managers in primary care clinics and the important contributions of consulting psychiatrists to such collaborative care teams.

Behavioral Health Expert Interviews: Trillium Integration Incubator Project

Expert Interview - September 24, 2016
Behavioral Health Expert Interview Videos share the wealth of knowledge from experts in different topic areas around Oregon. Through these videos, others can learn about these topics and access information to improve the overall health and well-being of their patients. This video features Lynnea Lindsey-Pengelly, PhD, MSCP from Trillium Behavioral Health as she discusses the Trillium Integration Incubator Project.

Behavioral Health Expert Interviews: Behavioral Health & Primary Care - A Health System Perspective

Expert Interview - September 24, 2016
Behavioral Health Expert Interview Videos share the wealth of knowledge from experts in different topic areas around Oregon. Through these videos, others can learn about these topics and access information to improve the overall health and well-being of their patients. This video features Robin Henderson, PsyD from Providence Medical Group as she discusses Providence's behavioral health integration.

Triple Aim Strategies to Improve Behavioral Health Care External Link

Tools & Guides - August 8, 2016
Hospitals in Pursuit of Excellence -

This downloadable guide describes strategies, action steps and examples for hospitals, health systems and community stakeholders working together to develop a well-coordinated, accessible, affordable and accountable system for delivering behavioral health care. Includes case studies, ideas for building networks or partnerships with community stakeholders to coordinate care, and more.

Sustaining Integrated Healthcare Across Primary care Efforts: SHAPE External Link

Articles & Reports - July 1, 2016
SHAPE -

This brief describes the growing need to improve healthcare at the interface of general medicine, mental health, behavioral health, and substance use; including how to address the comprehensive needs of patients, and the community, through integrated care. 

Reimbursement of Mental Health Services in Primary Care Settings External Link

Articles & Reports - July 1, 2016
SAMHSA -

Identifies and proposes strategies to address Medicaid and other reimbursement policies that may pose barriers to mental health services in primary care settings. Presents findings from a white paper, discussion by an expert panel, and recommended action steps. The digital version is free to download. 

Early Childhood Mental Health Toolkit External Link

Tools & Guides - July 1, 2016
Boston Public Health Commission -

This toolkit is a comprehensive collection of protocols, written materials, and tips for integrating early childhood mental health staff into the pediatric primary care setting, including tools to: identify, hire, and train/support staff; design a full spectrum of early childhood mental health services; and develop and refine systems across the medical home.

The Business Case for Bidirectional Integrated Care External Link

Articles & Reports - July 1, 2016
The California Institute for Behavioral Health Solutions -

Resources intended to “simultaneously accomplish the healthcare objectives of the Institute for Healthcare Improvement’s Triple Aim". These include a "Promising Practices" Toolkit, a report and talking points authored by Barbara Mauer and Dale Jarvis of MCPP Heatlhcare Consulting on behalf of the Integration Policy Initiative (IPI) and the California Institute for Behavioral Health Solutions (CIBHS), and a PowerPoint presentation.