A Transition from Behavioral Health Process Oriented Oversight to Performance Oriented Value Based Purchasing

Abstract

Bucks County, a Pennsylvania Behavioral HealthChoices Primary Contractor for Medicaid, Magellan HealthCare, Inc., the subcontracted Behavioral Health Managed Care Organization (BH-MCO), and Bucks County Mental Health and Drug and Alcohol Outpatient agencies have made a commitment to provide timely access to quality outpatient behavioral health services for Bucks County individuals of all ages. As healthcare evolves and the need for behavioral health services grows stronger, there is a need for data driven outcomes that showcase value. Throughout the last year, select outpatient agencies have worked with Bucks County and Magellan HealthCare, along with a national consultant, to identify areas of opportunity within their organization and make vital shifts in their agency culture to produce quality outcomes. Within this collaborative process between public, nonprofit, and for profit entities, each organization has demonstrated the ability to evolve and continually improve to a future of Value Based Purchasing.