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Behavioral Health Provider Participation in Medicaid Value-Based Payment Models: An Environmental Scan and Policy Considerations

This report is informed by interviews with representatives from behavioral health associations, community-based behavioral health providers, state agencies, Medicaid managed care organizations (MCOs), and other subject matter experts to understand the successes and challenges associated with implementing value-based payment (VBP) in Medicaid behavioral health care. It provides:

  1. An overview of the behavioral health system’s engagement in VBP in the U.S., with a focus on 11 states;
  2. Lessons on implementing VBP from the perspective of behavioral health providers; and
  3. Policy recommendations for how state and federal policymakers, MCOs, and other stakeholders can support the adoption of VBP within behavioral health care.

It also identifies nine key themes that support successful behavioral health VBP design and implementation to inform efforts in states across the country.



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