Behavioral Health Business February 22, 2024
Morgan Gonzales

Almost 90% of opioid use disorder (OUD) treatment provider Groups Recover Together’s new payer contracts included a value-based care element. This starkly contrasts the vast majority of SUD providers, which still use the fee-for-service model.

Value-based care can align payers’ and providers’ interests, encourage providers to provide the most effective pathways to treatment and result in higher reimbursement rates. Groups established 43 new contracts with payers in 2023, of which 38 were value-based, according to Groups’ annual outcomes report.

Groups defines value-based as tying reimbursement to recovery, not volume of services. The new contracts represent 23.6 million newly-covered lives for the company.

“We’ve had a really great year from the perspective of delivering against our mission,” Cooper Zelnick, the company’s...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: Insurance, Mental Health, Payer, Payment Models, Provider, Value Based
Integrating Mental and Physical Health to Better Support Patients and Communities
Trauma-Informed Approach Enhances Substance Use Disorder Care, Appeals to Payers
Optum Behavioral Health Releases the First of Two Mass Overpayment Notices
CA Is Investing $500M in Therapy Apps for Youth. Advocates Fear It Won't Pay Off.
Mental health crisis centers and EmPATH units: offering care that busy ERs can’t

Share This Article