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Value-Based Payment IT Readiness in Behavioral Health

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Remarkable Health, an innovative technology partner for behavioral health and DD providers, presents its survey data on the IT readiness of behavioral health providers for value-based reimbursement models. The survey results reveal some red flags in preparedness, including a disconnect between the confidence in readiness and the actual IT progress toward readiness.

Agencies still using traditional electronic health record technology are seeing the need to upgrade to capabilities that embrace the evolution of how clinicians work with clients and the way behavioral health services are documented and billed.

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Value-Based Payment IT Readiness in Behavioral Health

  1. 1. 1Confidential Remarkable Health Value-Based Payment IT Readiness in Behavioral Health Trends and Statistics – 2019
  2. 2. 2Confidential Remarkable Health • Survey conducted Feb. 2019 • 320 agencies responded • C-Suite or Clinical role surveyed • 80% of respondents have 50+ employees How ready are behavioral health agencies for the changes Value-based payments will bring?
  3. 3. 3Confidential Remarkable Health How many different tools do you use? 11% 30% 12% 47% RESPONSES 1-2 tools 3-5 tools 6-10 tools 10+ tools Your technology stack should be integrated – Not just to reduce costs, but also for data accuracy and analysis
  4. 4. 4Confidential Remarkable Health Do you plan to change your IT Budget? 25.31% 30.94% 20.94% 7.50% 5.94% 9.38% 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00% Yes, we plan to increase our IT budget by 1-5% Yes, we plan to increase our IT budget by 6-10% Yes, we plan to increase our IT budget by 11-20% Yes, we plan to increase our IT budget by 20% or more No, we do not plan to increase our IT budget I don't know Responses Responses A full technology stack is required to manage your practice, client outcomes and billing in today’s digital age. Make sure your technology partner is investing in driving innovation in outcomes management and agency efficiency.
  5. 5. 5Confidential Remarkable Health In an average week, how much time do you spend on documentation per week? Responses 1-5 hours 6-10 hours 11-15 hours 16-20 21-25 25+ Documentation costs and errors must be reduced for better outcomes, billing and practice management.
  6. 6. 6Confidential Remarkable Health What are the ways you currently engage clients in between sessions? 63.75% 41.88% 61.25% 40.00% 10.00% 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% Repeated, meaningful contact via phone or email Direct, secure text messaging Appointment reminders via phone, email or text Provide clients to track self-report outcomes We don't currently engage with clients between sessions Responses Behavioral health technology needs to go beyond phone calls and reminders to keep providers and their clients engaged throughout treatment.
  7. 7. 7Confidential Remarkable Health Does your agency plan to increase its home and community-based services in the next year? 19% 47% 21% 7% 6% RESPONSES No, we don't expect an increase in these services in the next year Yes, we expect to see a 1-20% increase in the next year Yes, we expect to see a 21-49% increase in the next year Yes, we expect to see a 50-75% increase in the next year Yes, we expect to see a 75%+ increase in the next year More providers outside of the office means your clinical, scheduling and documentation technology needs to be mobile – and work offline for accuracy and effiency.
  8. 8. 8Confidential Remarkable Health How do you currently capture client outcomes today (select all that apply)? Data entry in an EHR/EMR Verbally, then document in Word/Excel and store on desktop/server Verbally, then document on paper and store the file in storage room Online via Outcome Tracking tool: please specify None, we don't track outcome data at my agency Documentation captured outside of your EHR create bottlenecks for care and billing efficiencies.
  9. 9. 9Confidential Remarkable Health How do you show client progress to desired outcomes (select all that apply)? 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% Assessment tools (DLA-20, PHQ-9, etc.) Reduction of client costs Client completion of goals/objectives Recidivism rates None, we don't track outcomes Responses
  10. 10. 10Confidential Remarkable Health What are your top financial challenges moving to a value-based payment model? 18% 16% 22% 19% 15% 10% Difficult to track actual unit costs Difficult to track utilization patterns Lack internal knowledge/expertise on predictive analytics Unsure how much risk we can accept Unsure how it will impact cash flow, profitability, and our need for financial reserves Unsure what staff and infrastructure costs are required to be successful
  11. 11. 11Confidential Remarkable Health What metrics are difficult for you track today (select all that apply)? 18% 16% 15% 23% 16% 12% Responses Utilization patterns Morbidity risk EHR data Claims data Patient satisfaction data Hospital admissions, readmissions and Emergency Room utilization

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