Transcript Document
Behavioral Health Authority Overview May 24, 2005 David S. Buck, MD, MPH Consultants Henry Harbin, MD Nancy Speck, PhD Susan Stone, MD, JD Is an Authority Needed? There already is an Authority! But the scope needs to be broadened Increase support of our safety net providers Reduce fragmentation Bring more providers into the fold, Broaden consumer choice Decrease state micromanagement Allow local control by those most familiar with the constraints and demands Dr. Wonser and the State Supports moving dollars through the Authority Authority-Provider split Will renegotiate suffocating controls on funds Change is inevitable This is an opportunity to proactively and thoughtfully prepare what is needed for our community Mixed Authority Structure Harris County maintains some authority Other authority contracted to vendors Behavioral Health Authority Manage all mental health and substance abuse dollars Subcontract with MHMRA Manage mental health services Manage distribution of substance abuse funds Mission To better integrate the array of public and private resources that are directed to behavioral health care in a more efficient system of care Tasks Integrate behavioral health services with primary care Ensure that behavioral health services do not get lost in the mix Develop fee-for-service mechanism Management Decisions What are the current system capacities with regard to each function? What are the projected costs and time required to meet the projected capacity needs if the function were to be performed within the county infrastructure? Who are the potential vendors available to provide each function and what would be the costs of contracting each function out? Impact of Fee-for Service Analyze and improve managed care Claims adjudication Credentialing Network development Maintenance Local Dollars Distributed to allow flexibility and freedom from: State regulations Reporting requirements STAR Plus unlikely to change in current climate Not a part of current considerations If STAR Plus absorbs Medicaid Rehab dollars, then reconsider situation