After over a 2-year pause attributable to the global pandemic, public and private payors will in 2024 begin to require contracted healthcare providers to accept value-based reimbursement instead of fee-for-service.  The Centers for Medicare and Medicaid Services (CMS) has made improving care and lowering costs a priority, with all Medicare fee-for-service beneficiaries in a care relationship with accountability for quality and total cost of care by 2030.

The Department of Health Care Finance (DHCF) and the Department of Behavioral Health (DBH) in the District of Columbia have collaborated and will by April 2024 require contracted managed care plans to integrate physical and behavioral health services for beneficiaries on a value basis.

Providers and managed care plans unable to use standardized tools for tracking patient’s mental health and identify and mitigate cost will find themselves at a competitive disadvantage. EquityAdvantage® delivers management expertise to help healthcare organizations navigate and thrive in value-based contracts.