Alignment Of Medicaid Financing For Behavioral Health, Physical Health, & Pharmacy: An OPEN MINDS Market Intelligence Report

The increasing importance of aligning the financing of various healthcare services arises as payers and insurers shift towards a more value-based reimbursement approach. In the absence of aligning physical and behavioral health, it becomes challenging to assess the effectiveness of value-based agreements in terms of emergency department and inpatient utilization. In addition, without aligning physical health, behavioral health, and pharmacy, difficulty increases further in establishing a value-based arrangement that considers the overall cost of care. The financing alignment for physical health, behavioral health, and pharmacy at the state level is divided between two systems: fee-for-service . . .