It is always the goal of Carelon to assist our members in achieving the best possible chance at recovery. One of the ways we do this is by collaborating with providers and appropriately rewarding them for delivering high quality and cost efficient care to Carelon members. Over the last several years, Pennsylvania’s Department of Human Services (DHS) has prompted Behavioral Health Managed Care Organizations (BH-MCOs) to move away from traditional fee-for-service reimbursement models that reward providers for quantity of services over quality of care and enter into value based payment (VBP) arrangements that will improve patient outcomes and lower the cost of care. Carelon has continued to support its network providers with this transition while implementing the state’s VBP initiatives. As a provider, you may already participate in a VBP program Carelon offers or will have the opportunity to join one in the future. To ensure that all providers participating in a VBP model have the necessary tools to succeed in these programs, Carelon delivers education, data and the support of dedicated staff, and also enables providers to share best practices.
To Participate In One Of Carelon’s Value Based Purchasing Programs Or Receive Additional Information
- 请通过以下方式联系支付创新经理 Napali Bridgelall： Napali.Bridgelall@carelon.com.有关我们的提供者质量管理计划的问题，请联系临床计划/提供者质量副主任 Laura Karoffa，电话： Laura.Karoffa@carelon.com.对于一般供应商关系问题，请联系供应商关系总监 Lisa Ciccarelli，电话： Lisa.Ciccarelli@carelon.com.