Market Intelligence Updates
The Alternative To Big – The Niche?
Monica E. Oss, Chief Executive Officer, OPEN MINDS | Distributed May 18, 2013
When looking at the continued consolidation of care coordination and the increased competition for consumers, a common question for executive teams is to ask is, “Can we compete?” An attractive alternative to facing all of the market competition, can be staying small and becoming a niche provider. But being a niche provider is is not always a simple proposition. Changes in the field have redefined the concept of "niche" – previous niches like “we serve consumers with SMI” or “we provide children’s residential services” – have been eroded by both new technology and competition. Successful niches have become more discrete. So, if you’re considering niche marketing, there are three key considerations for your executive team... Full Article
How Much Overhead Is Too Much Overhead?
(05/17/13) There is a lot of concern about "overhead" in the health and human service field these days. What do we mean when we say "overhead"? Overhead is an accounting term that refers to all ongoing business expenses not including or related to direct labor, direct materials, or third-party expenses that are billed directly to customers. Overhead must be paid for on an ongoing basis, regardless of whether an organization is has a high or low volume of business. For this reason, calculating overhead is important not just for budgeting... Full Article
Economies Of Scale 101
(05/16/13) Economy of scale. We may not use the term much, but it is the concept that is driving many mergers in the health and human service field. By definition, economies of scale are “the increase in efficiency of production as the number of goods being produced increases. . .” The assumption being that if an organization can produce more of something, the cost per unit of that something will go down. This would be due to ‘scale’ – lower amount of overhead in proportion to direct costs and the effect of volume in getting maximum yield from infrastructure and staffing... Full Article
Weekly News Wire Headlines
Virginia Medicaid Awards Behavioral Health Services Administrator Contract To Magellan
Weekly News "Hot Off The Wire"
On May 10, 2013, the Virginia Department of Medical Assistance Services (DMAS) awarded Magellan Health Services a contract to administer Medicaid behavioral health services statewide. The initial three-year BHSA contract term has two optional one-year extension periods. The contract term will start about 120 days after the contract is executed. The contract value has not been finalized. The contract for a Behavioral Health Services Administrator (BHSA) represents a new approach for the state. The contract for a Behavioral Health Services Administrator (BHSA) represents a new approach for the state. Currently, Virginia Medicaid pays the Commonwealth’s 40 Community Service Boards (CSBs) and private provider organizations on a fee-for-service (FFS) basis to deliver specialty behavioral health services; the CSBs are also paid on a FFS basis to provide targeted case management... Full Article
Also Featured This Week:
May 20, 2013 Edition
Preauthorizations For Psychiatric Admissions From ER Average 38 Minutes; Median Psych Stay In Emergency Department Was 8.5 Hours
Anthem Agrees To Reprocess 28,000 Claims Submitted By Connecticut Behavioral Health Provider Organizations Due To Misinterpretation Of New CPT Codes
Texas To Release RFP For A Second Foster Care Redesign Contractor In Summer 2013
Oklahoma Closing Developmental Centers; Concerns Remain About Service Capacity For 7,000+ On HCBS Waiting List
Florida Seeks Managing Entity Services For Redirections Services Programs
Maryland Health Insurance Exchange Launches Connector Program
View Entire Edition
Monthly Management Newsletter Articles
Everything You Should Know About 'Integration' – Whether You Asked Or Not
Cover Story - May 2013
The word "integrated" has reached the point of no meaning (like "quality," "managed care," and "clinically appropriate" to name a few). We've reached the point that when someone uses "integrated" as an adjective, you need to ask for a definition. It may not seem to be that important, but in my work with all types of organizations in health and human services, I'm seeing a misunderstanding of the words "integrated" and "coordinated" taking many organizational strategies far off course. The problem is that the two terms, while considered synonyms, have taken on specific constructs in the field. So, I want to discuss two concepts that are now critical to "Strategy 101" in health and human services....
Read The Full Article (all members)
Also In This Month's Issue:
Everything You Should Know About 'Integration' – Whether You Asked Or NotView Entire Issue
Health Homes Vs. Medical Homes: Big Similarities & Important Differences
Collaborative Care Through Health Homes: Applying The Chronic Care Model To Behavioral Health
Specialist Options In An Integrated Care Management World
Integrated Service Delivery In One Chart: Six Levels Of Collaboration
OPEN MINDS Update On Accountable Care Organizations
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