This brief describes describes four key outcomes of the first phase of the Delta Center, which funded 12 state teams for its first cohort of the State Learning & Action Collaborative. Relationships built through the Delta Center helped support the safety net’s initial response to COVID-19 and will continue to contribute to greater alignment between primary care and behavioral health in future policy and practice changes.
This brief summarizes key challenges faced by the rural ambulatory safety net in delivering primary care and behavioral health services since COVID-19 and the policy changes that have been implemented in response to those challenges. It also offers state-level policy recommendations to improve rural-specific primary care and behavioral health care through sustaining and supporting the movement towards telehealth, addressing social needs, and advancing value-based payment and care.
The report details existing value-based payment models for behavioral health services and where they are being adopted, and highlights lessons learned and recommendations for state and federal policymakers.
Richard Edley, President and CEO of Pennsylvania’s Behavioral Health State Association RCPA, shares his insights into why value-based purchasing is so important, prior success within Pennsylvania, and concerns for the behavioral heath provider community moving forward.
This grantee spotlight highlights the achievements of the Association of Oregon Community Mental Health Programs (AOCMHP) and Oregon Primary Care Association (OPCA) as part of the Delta Center's 2018–2020 State Learning & Action Collaborative.
Research indicates that integrated care management strategies such as health homes and evidence-based models such as Collaborative Care can improve outcomes for people with complex, co-morbid physical and behavioral health conditions while potentially reducing costs.
Through the State Innovation Model initiative, health home state plan option, and other Medicaid authorities, states have made significant investments to develop and implement payment and delivery system reforms that better integrate the physical and behavioral health systems.