Health Plan Advocacy 101 : What Steps Can be Taken for Bundled Payment for Coordinated Specialty Care across Plans?
Sponsored by the New England Mental Health Technology Transfer Center, this series features online meetings focused on bringing together leaders, clinicians, administrators, and constituents who are interested in working together to increase feasibility and scalability of specialized early psychosis and clinical high risk for psychosis (CHR-P) treatment across the New England region and other areas in the U.S. Guest presenters will share their experience with finding ways to pay for high quality prevention services for youth and families affected by early psychosis and/or signs of clinical high risk. This will include discussions about negotiating bundled payment structures with third-party payers, providing telemedicine, and finding creative solutions to maximize existing resources in order to provide stepped care that matches evidence-based services to individual needs and preferences.
The format of each discussion in this series includes a 30-minute presentation by an invited expert followed by 30 minutes of questions and discussion by participants. Sessions will have a limit of 50 participants in order to maximize opportunities for meaningful discussion. Participants will be encouraged to network and develop workgroups to advance initiatives that are discussed. The lineup of guest speakers for this series includes:
About Our Presenter: Dr. Ken Duckworth, MD, serves as the chief medical officer for NAMI, the National Alliance on Mental Illness. He is also the Medical Director for Behavioral Health at Blue Cross and Blue Shield of Massachusetts. He is double board certified by the American Board of Psychiatry and Neurology in Adult, and Child and Adolescent Psychiatry. Ken is an Assistant Professor at Harvard University Medical School and an Adjunct Clinical Assistant Professor at Boston University School of Public Health. Ken has served as a board member of the American Association of Community Psychiatrists and has been the Deputy Commissioner and Acting Commissioner of the Massachusetts Department of Mental Health. The APA has awarded Ken the Presidential Patient Advocacy Award; he is a distinguished fellow of that organization. Ken grew up with a parent with bipolar disorder which fuels his passion for system change.