Are Bundled Payments The Future Of Autism Reimbursement?

Health plans want provider organizations to take a holistic view of consumers with autism spectrum disorder (ASD) that includes an interdisciplinary approach, considers social determinants of health, and is reimbursed with bundled payments. This message was delivered by representatives from Cigna, New Directions, and Magellan during the "Payer Perspectives On Autism Benefits" panel at The 2019 OPEN MINDS Children’s Summit on October 28.

“You hear the term value-based payment (VBP) and what we’re looking for is outcomes,” said Katherine Wooten, LCSW, BCBA, clinical director of corporate programs for New Directions. “We’re looking for agencies that see . . .