1. Health Care Division
Strategic Planning

2. 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

3. Strategic Goals
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

4. 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

5. 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

6. 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

7. 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)

8. 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.

9. 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

10. 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

11. Strategic Planning