Name
From Identification to Impact: A Health Plan's BH ROI Blueprint
Description
While health plans continue to see increased spend on low-acuity therapy, their highest risk members with significant behavioral health components go un-or under-identified, ending up in the ED or inpatient setting. Independent Health Association solved this triage failure by embedding AI-powered EMR parsing into primary care to find rising-risk members before crisis, connecting them to a tech-enabled collaborative care model that achieved 89% retention and 222–335% ROI. In this fireside chat, IHA's President & CEO and Integral Health's CEO share the three-party blueprint — health plan, primary care, and tech-enabled BH — that turned identification into measurable impact.
Speakers
Content Level
Advanced
Tags
Collaborative Care Model of Integrated Care, Financing and Operational Sustainability, Primary Care Behavioral Health Model
Session Type
Poster
Objective 1
Diagnose the BH triage failure driving simultaneous overutilization of low-acuity outpatient therapy and under-recognition and undertreatment among high-risk members — and evaluate how AI-powered identification closes the gap before costs escalate to ED visits and/or inpatient admissions.
Objective 2
Apply a proven three-party partnership model — health plan, primary care, and tech-enabled BH provider — to design a rising-risk intervention strategy that redirects BH spend toward the members who need it most and delivers measurable financial return.
Objective 3
Walk away with a clear partnership blueprint designed for impact.
Content Reference 1
TBD
Content Reference 2
TBD
Content Reference 3
TBD