Colorado Behavioral Health Task Force February 19 th , 2020 1 - PowerPoint PPT Presentation

Colorado Behavioral Health Task Force February 19 th , 2020 1

Objectives for the Meeting: To provide an overview and update on the work of the Behavioral Health Task Force (BHTF) thus far To understand your questions and recommendations for the BHTF to consider 2

What do we mean by “Behavioral Health?” Refers to an individual’s mental and emotional well-being development and actions that affect his/ her overall wellness Behavioral Health problems and disorders include substance disorders, serious psychological distress, suicidal ideation, and other mental health disorders Problems ranging from unhealthy stress or subclinical conditions to diagnosable and treatable diseases are included 3

There are three subcommittees supporting the work of the Task Force. Task Force Children’s Long-Term S afety Net Behavioral Health Competency 4

The BHTF develop a vision for Colorado: Comprehensive Equitable Effective Continuum of behavioral health services that meets the needs of all Coloradans in the right place at the right time to achieve whole-person health and well-being. 5

Other current data will inform our work. Legislative Review Financial Analysis Community Input Ongoing Review of Reports & Best Practices 6

Our blueprint needs to be realistic and reflect accountability. We know that the system is not working for everyone. We need to stay focused on solutions in a realistic timeline. We have been given some clear direction. There is a foundation of work from which we can build. 7

We have heard over 100 public testimonies. We have facilitated community conversations. 8 8

Access continues to be the biggest challenge. Themes Heard Across All Public Testimonies Through December 2019 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Access to care concerns Concerns about get ting t imely care Lack of workforce Out patient services concerns Payer Challenges (e.g., Medicaid versus private insurance) S tigma Resident ial services concerns Parity Dual diagnosis issues Crisis S ystem Inpatient services concerns Need for more prevention efforts Communication between providers/ clinicians S ocial det erminant s of health Need to educat e more stakeholders Excess prescript ions 9 9

People cannot make sense of the system. People need to Once they get access, actually know about they are given the run- the behavioral health around system S upports in the system S ervices are not timely are not adequate 10

Workforce. Workforce. Workforce. There are not enough providers. There are not strong enough incentives for recruitment Workforce and retention. There is not enough training, or regulation. 11 11

There were other themes resulting from the public testimonies. Prevention is Rural and Need for Parity needs There is lack key. frontier area funding is to be of trust needs are not uncertain. enforced. everywhere. reflective of the front range. 12 12

An Option for Colorado 13

We learned from other states. Why We Spoke with Them What We Learned Arizona Arizona merged its Division of “ Administrative S implification” Behavioral Health and its Medicaid resulted in less bureaucracy for agency. providers, and likely cost savings. California California consolidated several There have been a lot of health and human service agencies unintended consequences. ” Don’t into a single entity. replicat e our model.” Maryland Maryland implemented an The AS O oversees the authorization Administrative S ervice Organization of services, data collection and (AS O). claims submission, and the payment of claims. Massachusetts Massachusetts is known for its The S tate did not consolidate its behavioral health care quality and departments, despite a access measures. recommendation to do so. Minnesota Minnesota has a state-supervised, There are various and differing local-control structure. versions of the S tate’s success. 14

The BHTF heard common themes from a variety of stakeholders. The patient should be Expand and enhance Build strong networks. the first priority. coverage/ rates for Offer choices. behavioral health. Develop a statewide Focus funding on Provide clarity and workforce development achieving wellness and consistency on the strategy. recovery. roles of S tate Agency and Contractors. 15

Our current system is convoluted. 16

What you should know about the draft model we will share today: It is DRAFT There are still a lot of questions that need to be answered, and many details to figure out We will mold it and revise it and adj ust it over the next few months 17

An Option for Colorado to consider. Braided or multiple aligned contracts 18

The focus is on care coordination for the client. ASO Client Experience Easy access process through many doors for all populations S ervice first, determine payment later Care Coordination to help access services and ensure continuity across providers and levels of care Help raising and resolving complaints and concerns at provider, AS O and with S tate Agency levels Access to full array of services regardless of where you live 19

Questions & Recommendations 20 20

Believe in OUR POTENTIAL The pressure is on. Let’s do this! 21