Behavioral health provider collaboration
Wellpoint launched a new value-based payment initiative for our large-volume behavioral health providers and substance use disorder (SUD) facilities serving commercial members.
Our behavioral health provider collaboration is a pioneering venture with a mission to recognize — through reimbursement incentives — healthcare professionals and facilities that offer improved treatment outcomes and quality clinical care.
Value-based payment opportunity
The National Alliance Health Purchaser Group identified Wellpoint’s behavioral health value-based payment program as the industry leader among healthcare plans. There are three distinct recognition categories under this program:
- SUD/Behavioral Health Facility
- Behavioral Health Outpatient Provider
- Medical/Behavioral Health Integration using one of three service models — fully integrated, co-located, or coordinated
Participating healthcare professionals
Our behavioral health value-based payment program leverages HEDIS® to measure the quality of care that patients receive. Visit the HEDIS website to learn more about these measurement guidelines.
Current HEDIS measures for behavioral health clinical quality
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
Integrated behavioral healthcare
80% of people with a behavioral health disorder will visit a primary care provider at least once a year.1
Adults living with a serious mental health illness die on average 25 years earlier than other Americans, largely due to treatable medical conditions.2
30 to 50% of patient referrals from primary care to an outpatient behavioral health clinic do not make the first appointment.3
Contact us
For additional information or to ask questions, email the Behavioral Health Provider Collaboration team.
Interested in becoming a provider in the Wellpoint network?
We look forward to working with you to provide quality service for our members.
1 Chiles JA, Lamber MJ, Hatch AH. The Impact of Psychological Interventions on Medical Cost Offset: A Meta-analytic Review. Clinical Psychology: Science and Practice. 1999;6:204-220
2 Pincus, HA. J. Clin Psychiatry. 2001;62 Suppl 6:5-9; Schatzberg AF. J. Clin. Psychiatry. 2004; 65 Suppl. 12; 3-4.
3 Fisher L, Ransom DC. Developing a strategy for managing behavioral health care within the context of primary care. Archives of Internal Medicine. 1997;6:324-333.