‘It’s Extremely Difficult’: Payvider Models Demonstrate How Far Behavioral Health Integration Challenges Go

Behavioral Health Business March 27, 2023
Chris Larson

The struggles of Optum and CVS Health Inc. (NYSE: CVS), two of the country’s largest health organizations, to integrate assets into a cohesive “payvider” model illustrates the deep challenge of creating value-based care models.

Optum, the health services division of UnitedHealth Group Inc. (NYSE: UNH), and CVS Health, which owns Aetna, one of the largest health insurers in the U.S., have found creating payvider models a tantalizing but laborious prospect.

These challenges highlight the toil required to upend and reform legacy approaches to health care.

“It’s extremely difficult,” Trip Hofer, the CEO of Optum Behavioral Health Solutions, said at Behavioral Health Business’ VALUE conference. “[Even] in an ecosystem where we own the assets, getting those assets to be...

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