Name
Making Collaborative Care Sustainable: Billing Strategy and Financial Modeling
Description

This panel will explore the financial foundations necessary to successfully implement and sustain the Collaborative Care Model (CoCM). Panelists will discuss practical billing strategies, common reimbursement challenges, workforce efficiency strategies, and key considerations for optimizing payment across payers. The session will also highlight the role of financial modeling and pro forma development in forecasting revenue, supporting operational decisions, and accelerating the path to sustainability by balancing growth and cost. Attendees will gain actionable insights to strengthen both the clinical and financial infrastructure of their CoCM programs.

Content Level
All Audience
Tags
Collaborative Care Model of Integrated Care, Financing and Operational Sustainability, Sustainability
Session Type
Concurrent
Objective 1
Identify key billing strategies and reimbursement considerations necessary to sustain a CoCM program.
Objective 2
Analyze common payment challenges across payers and approaches to address them.
Objective 3
Evaluate how financial modeling and pro forma development support operational planning and long-term sustainability.
Content Reference 1

Collaborative Care Model Billing Basics. (2026). Meadows Mental Health Policy Institute. Retrieve from: https://mmhpi.org/wp-content/uploads/2026/02/CoCM_Billing_Basics_01012026.V2.pdf

Content Reference 2

Behavioral Health Integration Services (No. MLN909432). (2026). CMS, Medicare Learning Network. Retrieve from: https://www.cms.gov/files/document/mln909432-behavioral-health-integration-services.pdf

Content Reference 3

Carlo, A. D., Corage Baden, A., McCarty, R. L., Ratzliff, A. D. H., & Unützer, J. (2019). Early health system experiences with collaborative care (CoCM) billing codes: A qualitative study of leadership and support staff. Journal of General Internal Medicine, 34(10), 2150–2158. https://pmc.ncbi.nlm.nih.gov/articles/PMC6816741/

Content Reference 4

Collaborative Care (CoCM) - Adequate Medicaid Reimbursement is Critical for Broadscale Implementation. (2025). Concert Health and JG Research and Evaluation. Retrieve from: https://21306679.fs1.hubspotusercontent-na1.net/hubfs/21306679/Collateral/CT%20Update%20CoCM%20Medicaid%20Feb%202025.pdf

Content Reference 5

Progress Report: Psychiatric Collaborative Care Model. (2026). The Bowman Family Foundation and Mental Health Treatment and Research Institute. Retrieve from: https://filesmhtari.org/COCM_Progress_Report.pdf