Executive Briefings


What Does Minimum Wage Have To Do With Health Policy?

Executive Briefing | February 24, 2017
For the past eight years, we’ve had a national discussion about the affordability of health coverage and what Americans should pay for (or not pay for) their coverage. And we’re about to embark on more robust discussion of that...

Does Value-Based Reimbursement = Provider Consolidation?

Executive Briefing | February 23, 2017
“Payment reform will drive provider organization mergers.” That is a bit of “conventional wisdom” regarding the current market landscape. And certainly, there is lots of evidence that more provider organization consolidations are happening — see Is $400 Million The...

Getting That ‘Preferred’ Role With Health Plans

Executive Briefing | February 22, 2017
We’ve written previously about the changes in provider reimbursement from health plans — more value-based reimbursement, smaller provider networks, a move to the “center of excellence” model, and more (see Where Are We On The Path To Value-Based Reimbursement? and...

The Power Of Bundled Rates

Executive Briefing | February 21, 2017
In the face of big policy unknowns in health and human service, it appears that one practice is likely to remain with us – reimbursing service provider organizations for value from a wide array of value-based reimbursement models. And...

Building The ‘Next Generation’ Behavioral & Social Service ACO

Executive Briefing | February 20, 2017
“Chance favors the prepared mind.” – Louis Pasteur This quote came to mind last week at The 2017 OPEN MINDS Performance Management Institute as I listened to James McCreath, Ph.D., vice president of Behavioral Health & Psychiatry at Trinitas...

How Much Residential Addiction Treatment Capacity Do We Need?

Executive Briefing | February 18, 2017
The opioid epidemic has gotten a lot of attention both within the behavioral health community, but also by the general public — The Obamacare Repeal ‘Could Be A Disaster’ For States Fighting The Opioid Epidemic and Opioid Addiction –...

Where Are We On The Path To Value-Based Reimbursement?

Executive Briefing | February 17, 2017
The theme of The 2017 OPEN MINDS Performance Management Institute was the move to value-based reimbursement. We had lots of great presentations on both health plan and provider organization value-based program innovations. But as a whole, where exactly are...

The Value Train Has Left The Station

Executive Briefing | February 16, 2017
“We are nothing without our provider partners.” That is a memorable phrase from the keynote address, Emerging Medicaid Performance Expectations – How They Are Shaping Future Payer/Provider Relationships, given today by Brian Wheelan, Chief Strategy Officer and Executive Vice...

The I/DD Market Evolution

Executive Briefing | February 15, 2017
Greetings from Florida, where today we hosted a group of executives from intellectual/developmental disability (I/DD) provider organizations from across the county for our inaugural OPEN MINDS I/DD Executive Summit. The day focused on the many changes and challenges we’re...

Becoming A ‘Blue Chip’ Provider Organization

Executive Briefing | February 14, 2017
A recent article in the Columbus Dispatch, United Way’s Change of Focus Has Some Nonprofits Scrambling, offered an example of a growing trend among community funding organizations: outcomes-focused funding. What is outcomes-focused funding? It is an approach that attempts...

The Digital Revolution In Mental Health Hasn’t Happened Yet

Executive Briefing | February 13, 2017
“I think we are on the cusp of the third revolution in mental health. The first revolution was the idea that talking can cure mental illness, beginning with psychoanalysis. The second was the development of pharmacotherapy, beginning in the...

Value-Based Reimbursement & Accounting: Show Me The Money

Executive Briefing | February 11, 2017
“Accounting is the language of business, and you have to learn it like a language… To be successful at business, you have to understand the underlying financial values of the business.” – Warren Buffett Why are we talking about...

The Market Impact Of The New Medicaid Addiction Treatment Benefits

Executive Briefing | February 10, 2017
In the past couple weeks, we’ve written extensively about the growing opioid epidemic and its consequences on both the consumer population and the health care system (see Addiction & Hospital Utilization – The Endless Loop? and Opioid Addiction –...

Going ‘Social’ – The Next Iteration Of ACOs

Executive Briefing | February 8, 2017
When it comes to accountable care organizations (ACO), we’ve seen a lot of new developments in recent months. The Centers for Medicare & Medicaid Services (CMS) have developed new models (see New ACO Developments, Same Challenges); many Medicare ACOs...

More Managed Care For Consumers With Disabilities, More Management Challenges

Executive Briefing | February 7, 2017
More “special” populations are being moved to managed care models. Two decades ago, managed care was the model for “commercial” populations – consumers with employer-sponsored health plans and the individual health insurance market. In the intervening twenty years, we’ve...

Addiction & Hospital Utilization – The Endless Loop?

Executive Briefing | February 6, 2017
Recently we’ve had a lot of coverage of addiction in general, and opioid addiction in particular. These are just a few of the articles that we’ve published in the last 30 days: Survey Finds State Medicaid Addiction Treatment Benefits...

Parity Is No ‘Magic Bullet’

Executive Briefing | February 4, 2017
We’ve had “parity” in behavioral health benefits under commercial plans for eight years – since the 2008 passage of the Mental Health Parity and Addiction Equity Act (MHPAEA). Since then, the law has been expanded to include parity under...