Health Care Division Strategic Planning 2016-2017

Health Care Division Overview Implement a strategy that promotes behavioral health care’s role in population health management; assists members to succeed in the healthcare marketplace; and aligns initiatives with other health systems to promote integrated care and parity implementation. Serves as liaison to state agencies on health care issues Promotes “Population Health” Promotes best practice Informs on health care marketplace changes

Strategic Goals 2015-2016 Provide information and assistance to members in understanding and implementing population health management process Provide ongoing assistance to members on how to fully engage in the public and private insurance market Promote increased ability and opportunity for integration of behavioral and primary health care

OUTCOMES Goal 1: Updates to members on changes in Medicaid policy Conducted Managed medical Assistance Survey to determine issues needing resolution Organized round table discussion with managed care health plans (November 8) Building relationships with state insurance representatives BH Business Learning Collaborative: 3rd party contracting Researched value-based purchasing opportunities Promoted revenue maximization and expansion of service coverage (i.e. detox) and population enhancement through Medicaid Conducted survey on Medicaid rates OUTCOMES Goal 1: Provide information and assistance to members in understanding and implementing population health management process

OUTCOMES Goal 2: Published Health Newsletters to inform members of health care trends and policy changes Active involvement with Medicaid Behavioral Health Workgroups Meetings with AHCA leadership to address provider issues Provide ongoing assistance to members on how to fully engage in the public and private insurance market

OUTCOMES Goal 3: Integration Collaborative with Florida Hospital Association in reducing readmissions to emergency rooms, including “warm handoffs” Created Hospital Integration Workgroup Defining Benefits of BH Collaborations to FHA/Hospitals Collecting current best practices from around State Researching practices nationally for educating members Working with Health Services Advisory Group to see if reports are available by region on SUD diagnoses for hospital ER visits and readmissions Promote increased ability and opportunity for integration of behavioral and primary health care

OTHER OUTCOMES Expand Use of MAT Legislative: 9 Impacts 2015-2016 Expanded use of naloxone and long-acting naltrexone Disseminate education materials Legislative: 9 Impacts Expanded use of naloxone (HB 1241) Infectious Disease Elimination Pilot Program (SB 242) Prescription Drug Monitoring Program (SB 964) Bath salts/synthetic drugs (HB 1347) 2015-2016

Emerging and Continuing Issues HEALTH SYSTEMS ARE EXPANDING – HOSPITALS and large health systems ARE acquiring PRIMARY CARE PROVIDERS AND BEHAVIORAL HEALTH PROGRAMS. Large health care structures (ACO) are growing and may be one of the ways healthcare will be managed in future. Tension between seeking to be first class behavioral healthcare company and serving as community safety net company (low reimbursement rates and extensive requirements). Population health management is focus for health care systems. Educational opportunities with primary care providers to understand relationship of substance use and health care problems.

HEALTH CARE DIVISION: STRATEGIC GOALS 2016-2017 Promote expanded use of medication assisted treatment via white paper Medical doctors; standards of care Courts DCF Recovery community General public Provide information and assistance to members in understanding financing models including value-based purchasing Engaging in those who operate successfully under risk-based system Engaging in health plans Defining costs (actuary?) Per member per month plan Work with state agencies to expand the use of Medicaid to individuals with behavioral health disorders with emphasis on substance use disorders Develop methods to work effectively with community healthcare systems (hospitals) Partnerships/collaborations with FHA, FMA, FOMA PR Campaign, highlighting your “niche” and marketing to health plans Inform on trends in health care Chronic disease group Working with hospitals on their biennial needs assessment as part of ACA compliance Informing on integrated health pilot in Broward; train the trainer

Proposed Vision and Mission Statement for Health Care Division Vision: Position FBHA members as Premier Health Care Leaders in Florida, who specialize in substance use disorder and mental health disorder treatment Mission: Health Care Division will lead change in the Behavioral Health Care industry by: Researching and disseminating cutting edge models as part of the health care system Educating and training companies in new ways to contract for services within the health care system Leading expansion of high quality research-based treatment programs Seizing new opportunities and creating options to expand services and insurance coverage for persons with Substance Use Disorders

Strategic Planning 2016-2017