Unnecessary behavioral health hospitalizations can adversely affect member experience, clinical outcomes and costs. To help reduce these hospitalizations and better partner with local mental health authorities (LMHA’s), UnitedHealthcare Community Plan of Texas designed a shared savings program to reward providers delivering strong behavioral health care that results in better outcomes for members with serious mental illness. Currently, the Andrews Center, the Burke Center and Spindletop LMHA’s are participating in the program.
Together, UnitedHealthcare, Optum and LMHA’s developed a shared savings program that creates incentives for providers to reduce in-patient behavioral health costs for attributed membership1. Quality measures such as medication adherence and 7 and 30 day post hospital follow-up results are aligned to the program as an additional way for LMHA’s to achieve incentive payments.