Name
Aligning Value-Based Care with Integrated Behavioral Health: Survey Findings and a Call to Action
Description
This presentation examines the challenges of implementing value-based care (VBC) in integrated healthcare, including misalignment between payers and providers, inadequate behavioral health metrics, and complex payment structures. A national survey conducted in Fall 2024 (n=50) highlighted key provider concerns, such as contractual clarity (42%), poor state/payer engagement (32%), and misaligned metrics (32%). While financial incentives (50%) and practice flexibility (46%) motivated VBC participation, unclear incentives (22%) and reporting burdens (24%) remained obstacles. The findings underscore the need for stronger provider-payer collaboration, standardized quality metrics, and better education and training. This session will offer practical recommendations to improve VBC adoption, ensuring financial incentives align with patient-centered care.
Speakers
Lesley Manson PsyD, Director of Implementation Science and Training, NCR Behavioral Health, Arizona State University,
Rachel Bembas PhD, Principal Consultant, Health Management Associates, Clifford Twp, Pennsylvania
Chris Botts LMFT, Senior Manager, Care Delivery and Payment Physician Practice Sustainability, American Medical Association, Washington, DC
Brian Sandoval PsyD, Executive Director, Behavioral Health, Providence, Gilbert, Arizona
Neftali Serrano PsyD, Chief Executive Officer, Individual - Neftali Serrano, Chapel Hill,
Rachel Bembas Chris Botts Neftali Serrano
Content Level
All Audience
Tags
Cost Effectiveness or Financial sustainability, Outcomes, Quality improvement programs
Session Type
Concurrent
SIG or Committee
Families and Health (F&H)
Objective 1
Discuss strategies to align incentives, improve provider engagement, and enhance VBC model implementation.
Objective 2
Examine the results of a national survey assessing payer and provider perspectives on VBC in integrated care.
Objective 3
Formulate actionable recommendations for policymakers, payers, and healthcare organizations to optimize value-based care integration.
Content Reference 1
Leão, D. D. L., Cremers, H.-P., van Veghel, D., Pavlova, M., Hafkamp, F. J., & Groot, W. (2025). Design, implementation, and evaluation of value-based payment models: A Delphi study. BMC Health Services Research, 25(1), Article 116. https://doi.org/10.1186/s12913-025-12281-z Maruthappu, M., Hasan, A., & Zeltner, T. (2015). Enablers and barriers in implementing integrated care. Health Systems & Reform, 1(4), 250-256. https://doi.org/10.1080/23288604.2015.1077301
Content Reference 2
Porter, M. E. (2019). Quality metrics and value-based care in medicine. Harvard Business School Working Paper. Retrieved from https://www.isc.hbs.edu/Documents/pdf/quality-measurement-in-health-care-HLS.pdf
Content Reference 3
Peikes, D., Swankoski, K., Taylor, E. F., O’Malley, A. S., & Day, T. (2019). The effects of a primary care behavioral health model on patient experience and outcomes. Journal of General Internal Medicine, 34(3), 340-347. https://doi.org/10.1007/s11606-018-4737-7
Content Reference 4
Fisher, E. S., Shortell, S. M., Kreindler, S. A., Van Citters, A. D., & Larson, B. K. (2012). A framework for evaluating the formation, implementation, and performance of accountable care organizations. Health Affairs, 31(11), 2368-2378. https://doi.org/10.1377/hlthaff.2012.0544
Content Reference 5
Zonneveld, N., Driessen, N., Stüssgen, R. A. J., & Minkman, M. M. N. (2018). Values of integrated care: A systematic review. International Journal of Integrated Care, 18(4), 9. https://doi.org/10.5334/ijic.4172