1. Behavioral Health Northwest Rick Weaver, CEO

2. Some Background Behavioral Health Northwest A WA State not for profit corporation and 501(3) 2 organizational members – Comprehensive and Compass Two Board members – the CEOs Four member operations committee 15 CBHOs are affiliates Statewide coverage Affiliates are actively involved in planning and decisions but are not owners

3. History Grew out of multiple attempts by CBHOs to create statewide network/managed care solutions dating back 20 years Managed Care Washington/Spectrum Pierce County RFP The members began meeting over 3 years ago. The organization was quickly incorporated, product development and marketing began First contract Spring 2012, began services June-July 2012

4. Products Services to Health Plans Behavioral health services via a statewide network Care Transitions Care Coordination, Community Connectors Health Homes for Dual Eligibles and other populations Network management – Credentialing, UM, QI Other Services High intensity services Child Welfare services

5. Organizational Keys After multiple failures with large groups we started small Focused on sweat equity with very small capital investment at first. Built structure and closed on contracts before engaging affiliates Selective in inviting partner organizations

6. Organizational Keys Avoided areas of major competition (at least at first) Open, transparent and collaborative dealings with affiliates while retaining ownership control Affiliate management Opt in/out of different business lines Provisions for CBHOs not asked to participate Non-traditional service catchment areas Communication website, e-newsletter, SharePoint

7. Engaging Payers Build on existing relationships Do the research – integrated care, cost-offset, delivery model research Don’t undersell organization – you have valuable and unique skills Listen for the problems they have Requirements in contracts Network management and quality issues Quality, staffing and service model issues

8. Coming Challenges Moving from sweat equity to staffed organization Infrastructure – informatics, billing, IT Further defining affiliate role Staffing up at organization and provider levels Taking contracts to the next level Building affiliate capacity and competence Growing shared vision

9. I Wish We’d…..