Behavioral Health Business September 3, 2024
Fee-for-service reimbursement models incentivize behavioral health providers to deliver more services – in some instances, even when medically unnecessary, some would point out.
Value-based care – paying for quality and outcomes instead of volume – has been heralded as the behavioral health industry’s path away from fee-for-service models.
Challenges, including tension between health plans and providers, have kept value-based care from becoming standard practice within the behavioral health industry. Shared-savings models could be the industry’s realistic first step away from fee-for-service arrangements.
“Even if providers and payers want to use the fee-for-service model as a foundation, there is an opportunity for providers and payers to partner, and look to shared savings as a potential [way] to begin to evolve and...
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