- David Lloyd, MTM Services
- Scott Lloyd, MTM Services
- Michael Flora, MTM Services
NEED FOR HEALTHCARE CHANGE MANAGEMENT & HEALTH REFORM READINESS
Implementation of the Affordable Care Act, parity, Medicaid expansion, and insurance exchanges are all underscoring the need for mental health and addictions treatment organizations to gear up to meet greatly increased demand, competition, and performance standards. Soon, more people than ever before will have access to treatment for mental health and addiction services through expanded public and private insurance coverage. By 2019, an additional 15 million people will be eligible to enroll in Medicaid; an additional 16 million people will be covered by private insurance. Specialty behavioral healthcare organizations will need to expand capacity to meet increased demand and offer measurable, high-performing prevention, early intervention, recovery, and wellness services and supports. Behavioral health organizations must be ready to work with new Medicaid systems and to bill through the new health insurance exchanges, adapting to healthcare environments that demand greater accountability, increased efficiency in delivering services, and reduced variations in care.
CONSULTING SERVICES IN HEALTHCARE CHANGE MANAGEMENT & HEALTH REFORM READINESS
David Lloyd and his MTM Services team — of SPQM fame — have led 700+ behavioral health organizations across the country in adapting to changing healthcare delivery and payment systems. The National Council for Behavioral Health partners with MTM Services to prepare you for a dynamic new marketplace by helping you:
- Assess your readiness for health reform and identify areas for development
- Reduce treatment wait times and costs
- Manage change through rapid cycle strategic planning and action for change management
- Make data-driven decisions about new models of care to adopt or adapt to
- Eliminate no shows/cancellations
- Centralize schedule management and standardize appointment protocols
- Design care/benefit packages to support appropriate consumer utilization
- Re-engage and transition current but not active cases
- Develop performance indicators for staff including cost-based direct service standards
- Establish collaborative concurrent documentation practices
- Improve internal utilization management functions including:
- Collaborate with local medical providers through an image building and customer service plan
- Improve staff productivity and performance through better job descriptions, improved supervision, performance indicators, and a coaching-based evaluation process
MTM-led consulting services can help you replicate these results, already achieved at 100s of behavioral health agencies, in YOUR organization:
- Same day access to services
- Average of $200,000 in annual savings through access to care efficiencies
- 40% reduction in client wait times
- 37% reduction in access to care staff time costs
- Documentation time savings of up to 9 hours a week per direct care staff
RESOURCES FOR HEALTHCARE CHANGE MANAGEMENT & HEALTH REFORM READINESS
Increasing Access to Behavioral Healthcare: Managed Care Options and Requirements
States are relying on a fairly heavy dose of managed care to control their Medicaid costs and may turn to such plans even more as cost pressures mount and an estimated 16 million more uninsured people become Medicaid-eligible in 2014. Explore why and how you can contract with managed care organizations and managed behavioral health organizations.
Access Redesign Project Summary
Learn how 45 community behavioral health organizations in three states cut patient wait times by more than half (53 percent), reduced staff time by 40 percent, and saved an average of $222,000 annually.
Mental Health and Substance Use Provider Readiness Assessment
Review 23 important competencies and strategies necessary to succeed in the new healthcare ecosystem. It points to how you can assess and redesign internal operations to better align with healthcare reform and demonstrate to patients, healthcare providers, and state policymakers that your organization is high-performing, quality-focused, and efficient.
Partnering with Health Homes and Accountable Care Organizations
New service delivery models have been developed to address the healthcare system’s problems with quality and cost. Of these models, health homes and accountable care organizations are likely to serve as foundational elements of healthcare’s future. Pilot efforts have demonstrated the potential of these models to improve quality while reducing costs. Learn how you can get on board.
National Council Webinars
Ready, Set, Go: Employers’ Responsibilities and Opportunities under Health Reform
Eric Hammelman and Mairin Brady, January 23, 2013
How to do the Managed Care Dance – What You Need to Know to Participate in Networks
Pamela Greenberg, Deborah Adler, and Jim Clarkson, October 16, 2012