Health and Wellness for the Whole Person
One of the significant impacts of healthcare reform is the call to integrate primary and behavioral health care. Historically, primary and behavioral health care services have been provided separately with rules and regulations that prohibited reimbursement for care coordination. RDA is committed to supporting organizations working towards healthcare integration. We provide consultation in the following areas:
- Healthcare integration requires intensive and thoughtful planning. The separate systems of primary and behavioral health care have been maintained for a long time and touch all aspects of the service delivery system, including a transition from the medical model to a recovery based model of care. Planning allows healthcare leadership and key stakeholders to think together about how to structure integration in a way that makes the most sense of their community.
- The design of integrated care systems must address issues related to reimbursement and sustainability. While there are institutional barriers to getting payment for integrated services, a key component to sustaining integrated care is the ability to pay for the services. To this end, the SAMHSA-HRSA Center for Integrated Health Solutions has developed financial worksheets for each state that lists current billing codes for integrated care activities and offers a number of grant programs to fund integration activities.
- Change efforts towards integration are most successful when they include evaluation focused on continuous quality improvement. Conducting a formative evaluation during the change process allows you to find out if you are achieving your goals and objectives and provides information about needed program adjustments or improvements.