Behavioral Health Business January 3, 2025
Behavioral health is still largely stuck in the fee-for-service reimbursement model, but industry insiders have hung their hopes on value-based care changing that paradigm. Still, this shift may just be the first step in behavioral health’s reimbursement evolution.
Population health management could stand as the future of behavioral health beyond value-based care, which payers often call value-based purchasing (VBP).
“I think that there is a next step that comes after VBP and that is population health management,” Dr. Steven Pratt, senior medical director of Magellan Healthcare’s employer segment, told Behavioral Health Business. “In this system, provider organizations are paid to manage a population such as youth in Medicaid in a county.”
Frisco, Texas-based Magellan Healthcare is a subsidiary of Magellan...