Behavioral Health Business November 22, 2024
Behavioral health’s odd-duck status requires a unique approach to the payer-provider dynamic.
Historic challenges have demonstrated that payer-provider negotiations and partnerships require an approach fundamentally different from other types of business, even other health care segments.
Often, involved parties need to alter their expectations to reflect reality instead of a vision of the future. For example, paying attention to the nitty-gritty details of payers’ administrative and technology systems shows why idealistic attempts to prompt change via technology are much easier said than done.
“Let me put it this way, there are probably 20 to 30 different ways to bill intensive outpatient programs (IOPs) and partial hospitalization programs (PHPs),” Dr. Frank Webster, chief medical officer of Behavioral Health for Health Care...
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