“Why Should I Worry Now about Value-Based Purchasing to Keep My Organization Strong?”

There has not been a dull moment in the behavioral healthcare field for quite a while and there will not be one for a very long time, if ever.

Community-based providers continue to adjust to fee-for-service reimbursement while they brace themselves for the transition of mental health and substance use services from the Department of Human Services to the Department of Health. Meanwhile, the federal government continues debates about the Affordable Care Act and the Centers for Medicare and Medicaid Services is moving forward with implementing value-based purchasing.

With all the changes happening, you may be wondering, “Why should I worry about value-based purchasing now?”

The answer is: Because it is not a question of “if”; it is a question of “when”. And with emphasis on integrated care, it will happen sooner, rather than later.

To be in a strong position in the future, it is imperative that all providers begin preparing now for value-based purchasing. You need to get ahead of the game to be ready for this major change!

As part of our mission to help providers plan for the future, NJAMHAA will host a critical training event – Staying Ahead of the Game: Beyond Fee-For-Service Reimbursement – Roundtable Summit on Integration and Value-Based Purchasing – on October 3, 2017 from 9:00 a.m. to 4:00 p.m. at the Robert Wood Johnson Wellness Center, 3100 Quakerbridge Rd., Hamilton Township, NJ 08619.

Value-based purchasing calls for more mature relationships between health plan representatives and providers. This summit will provide the ingredients for developing relationships with payers and getting your organizations ready to deliver integrated services in the value-based purchasing system. It is important to remember that every value-based contract will be different – and this summit will help you prepare for operating under these contracts.

To help providers gain the most from this roundtable and to continue preparing for value-based purchasing, NJAMHAA will provide a FREE online provider-readiness tool to each individual who registers for this essential training event. If you were to hire a consultant to develop such a tool, you would pay 100’s – if not 1,000s – of dollars!

This survey is not transferable outside your organization and responses will be kept confidential. It is also proprietary; please do not share the link to it with others.

After the summit, we will send the aggregated results of the assessment tool responses, along with commentary from James Lape, MA, MBA, FACHE, Consultant and Former NJAMHAA Board President, who will be facilitating this event.

The transition of health care to value-based purchasing is inevitable! Providers must take action to bridge the gap from volume to value.

Click here to register today! Then, you will soon receive the link to the free provider-readiness tool!

NJAMHAA thanks our event sponsors: Aetna Better Health of New Jersey, Amerigroup Corporation, Beacon Health Options, Horizon NJ Health and Optum.

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NJAMHAA Has Impact and Depends on Members for Insights

“NJAMHAA’s role and impact in the field of mental health has been tremendous and with the landscape becoming more complex, it can only be more important moving into the future,” said Anthony DiFabio, PsyD, Chief Executive Officer of Robins’ Nest and long-time NJAMHAA member.

Changes are always happening – that’s the increasingly complex landscape Dr. DiFabio refers to and it presents many challenges for providers of not only mental health care, but also substance use and developmental disabilities services.

Most notably and most concerning, nowadays, are the transition to fee-for-service (FFS) reimbursement for providers of mental health care and substance use treatment for children and adults. On the federal level, the possible repeal and inadequate replacement of the Affordable Care Act and proposed significant funding cuts to Medicaid.

To address these major issues and many others that affect our members’ abilities to provide services to everyone in need, NJAMHAA regularly meets and corresponds with State Legislators and key policymakers (e.g., Departments of Human Services and Children & Families) and our Congressional delegates. We demonstrate the value of our members’ life-saving and life-enhancing services and reinforce the critical need to ensure access to these services. We communicate this message even farther through traditional and social media. We undertake these initiatives as part of our constant pursuit of our mission:

To promote the value of its members as the highest quality behavioral healthcare providers for the residents of New Jersey through advocacy and professional development.

For professional development, we offer numerous training opportunities throughout the year.

Our advocacy has had a significant impact and we are the recognized leader in advocacy and achievement for New Jersey’s community mental health, substance use and developmental disabilities system. Highlights of our advocacy achievements include:

▪       Significant input into the FFS oversight legislation, its passage and signing into law

▪       Increase of several FFS reimbursement rates for mental health, substance use and Community Support Services (CSS), most notably the doubling of medication monitoring rates
▪       Option for transition dates for mental healthcare and CSS providers
▪       Substantial input that was used in the development of proposed legislation for safety net funding for mental health agencies transitioning to FFS on July 1, 2017, and expansion of screening centers and Early Intervention Support Services
▪       Preservation of funding for mental health and substance use services, including many children's behavioral health services, in the FY 2017 State Budget: All of the new funding proposed by the Governor was maintained.
▪       For the FY 2018 State Budget, Gov. Christie cited funding increases for mental health, addiction and developmental disabilities services, and we continue to advocate to help ensure State Legislators vote in favor of this funding.

On the federal level, our advocacy contributed to the passage of the Comprehensive Addiction and Recovery Act and the 21^st Century Cures Act, which includes a $1 billion, two-year appropriation (almost $12 million to New Jersey for two years) to fight the opioid crisis.

The effectiveness of our advocacy is a result, in large part, to our members’ active involvement. They share their perceptions of and experiences with changes in funding, regulations and laws, as well as their clients’ success stories. We incorporate this invaluable information int­­o our advocacy, our communication with traditional media representatives and on social media.

Please click here to learn more about how NJAMHAA membership can reinforce your organization and career, and how your involvement can help strengthen New Jersey’s mental health, substance use and developmental disabilities system.

Advocacy and Knowledge Building Are Always Critical for Providers and other Stakeholders

Join NJAMHAA at its Annual Conference March 29-30, 2017 for Information, Insights & Inspiration

Now is the time to exercise your lungs and advocate against the repeal and replacement of the Affordable Care Act as loudly as you can. If the American Health Care Act is passed, hundreds of thousands of individuals will lose coverage, which for many, was recently gained as a result of the Medicaid expansion.

It is also a good time to take a breath and a refreshing break – while continuing to reinforce your effectiveness as a behavioral health provider and advocate. It is natural to feel overextended and stressed with so many important issues to focus on, so NJAMHAA has a solution: Attend our Annual Conference, Collaboration and Innovation: A Formula for Success, on March 29 and 30, 2017 to take a rejuvenating, yet still productive break from your highly demanding daily responsibilities.

The conference is not just something else to do. It is designed to make everything you do even better. You and the individuals you serve will benefit tremendously because you will not only get the latest updates from Washington in real time, but also will gain a wealth of information and insights that are timely and valuable for your ongoing work with individuals who depend on your services to achieve a high quality of life.

You will not want to miss:

* Working with a New Administration: In his keynote presentation on Day 1, Ron Manderscheid, PhD, Executive Director of the National Association of County Behavioral Health and Developmental Disability Directors, will provide his insights on the likely impact of changes to national policy, including the Affordable Care Act, Medicare and Medicaid. He will also share his perspective on the direction of healthcare policy for the near and long term, as well as guidelines for preparing for the coming changes.

* Five Pillars - The Pathway to Improving the Delivery of Mental Health Services in Education: An Interview with Amy Kennedy: In this plenary session, Amy Kennedy, MS, Education Director for the Kennedy Forum, will share findings from her research in early identification of and intervention for mental health concerns in children, the use of brain fitness and mindfulness within school systems in order to foster and improve mental wellness, and developing prevention programs that utilize and promote students’ social and emotional learning.

* Innovation in Behavioral Health Management, Reimbursement and Delivery: For the Day 2 keynote presentation, Brian Wheelan, MBA, Chief Strategy Officer and Executive Vice President at Beacon Health Options, will share the successes and challenges that have come from collaborations with provider organizations in both risk and non-risk based arrangements.

* The Changing Role of Hospitals: Leaders from Carrier Clinic, Hackensack, UMC Mountainside and the Camden Coalition of Healthcare Providers will discuss their successes from programs and changes they have implemented, as well as their current or planned efforts to better serve those with mental health and/or substance use disorders. They will also focus on the need for collaboration between hospitals and community-based providers.

* Plus: Workshops to meet every training need: Topics are organized by tracks – General Clinical/Adult Mental Health; Substance Use Disorders and Treatment; Children and Youth; and Organizational.

Get Even More Inspired at the Courage & Compassion Awards Reception

The best way to attract and retain staff is to make them feel valued. We all know of the amazing work that frontline providers and organizations’ leaders do every day and we are delighted to present Courage & Compassion Awards to several of them at our annual awards and networking reception.

Please join us to honor providers, as well as state legislators and media representatives who support the mental health, substance use and developmental disabilities systems.

Your participation in the reception is included in your Day 1 conference registration.

Click here to register now!