JOURNAL ARTICLE
OBSERVATIONAL STUDY
Add like
Add dislike
Add to saved papers

Payer-provider patient registry utilized in a behavioral health home.

OBJECTIVES: As defined by the Affordable Care Act, health homes seek to improve healthcare coordination through data exchange and health information technologies; however, few examples of how to use such technology are available. The present effort describes a payer-provider patient registry for behavioral health home service.

STUDY DESIGN: An observational study design was used to describe characteristics of individuals identified by the payer-provider patient registry.

METHODS: In Pennsylvania, behavioral health agencies serve as health homes, with support by a behavioral health managed care organization (BHMCO) in the absence of a state waiver for health homes. The BHMCO initiates a priority patient registry monthly based on diagnoses for serious mental illness (SMI) and at least 1 chronic physical health condition. Providers contribute health data through a secure Web-based portal that become part of the registry and identify new participants.

RESULTS: We identified 3759 individuals in the priority patient registry; 91% were identified by the payer. Most commonly, individuals with SMI were identified with hypertension (39%), asthma/chronic obstructive pulmonary disease (27%), hyperlipidemia (20%), and diabetes (18%). Annual behavioral health Medicaid expenditures for individuals in the 12 months prior to appearing on the registry averaged $14,685 per individual. Twelve percent of registry participants had annual behavioral health care expenditures over $25,000.

CONCLUSIONS: The use of claims data and health assessment information can identify individuals presenting with complex healthcare needs that may benefit from behavioral health home service.

Full text links

We have located links that may give you full text access.
Can't access the paper?
Try logging in through your university/institutional subscription. For a smoother one-click institutional access experience, please use our mobile app.

For the best experience, use the Read mobile app

Mobile app image

Get seemless 1-tap access through your institution/university

For the best experience, use the Read mobile app

All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.

By using this service, you agree to our terms of use and privacy policy.

Your Privacy Choices Toggle icon

You can now claim free CME credits for this literature searchClaim now

Get seemless 1-tap access through your institution/university

For the best experience, use the Read mobile app