Netsmart: Beyond Interoperability

Healthcare costs are rising at unsustainable rates. When treatment for the mind and treatment for the body are not integrated, the costs increase even more. Behavioral health comorbidities - where patients have both a mental illness or substance use disorder and a chronic medical condition - have been shown to drive costs two the three times higher than treating just the medical condition.

To address these issues, value-based care models, such as accountable care organizations (ACOs) and the Certified Community Behavioral Health Clinic (CCBHC) pilot, have been developed. Value-based care models all have similar goals:

  • Lower costs by reducing institutional/inpatient care and emergency room usage, and ensure appropriate level of care
  • Drive consumer satisfaction by engaging consumers in their treatment
  • Improve the value of services provided by improving outcomes and overall population health while reducing costs

The challenge for human services providers will be to manage both the complexity and the risk as payment methods shift to value-based payment models.