Health Payer Intelligence July 1, 2024
Behavioral healthcare access for children and adolescents is lacking, but payers can use value-based care systems to increase and optimize referral opportunities.
As the mental health crisis persists, payers find their pediatric partners are desperate for behavioral healthcare solutions.
CareFirst BlueCross BlueShield (CareFirst), a health insurer serving the mid-Atlantic region, received reports from pediatricians who felt ill-equipped to offer comprehensive mental healthcare to patients with serious conditions. While many providers were able to handle mild cases of depression or anxiety, the more extreme scenarios stretched beyond their licensure. Moreover, they struggled to know where to refer patients for behavioral healthcare.
Brian Wheeler, executive vice president of health services at CareFirst, told HealthPayerIntelligence that the payer’s first step was to partner...