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Mental Health Services 2006

Alameda Alliance for Health

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Mental Health Services 2006

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    1. Mental Health Services 2006 Board of Governor’s Meeting July 26, 2007

    3. Alameda Alliance for Health – Group Care Mental Health – Outpatient CY 2006 N = 5485

    4. Outpatient Visits PTMPY – Group Care 69 members accessing program 69/5485 = 1.25% Compared to PBHI ~ 3.30 - Low utilization69 members accessing program 69/5485 = 1.25% Compared to PBHI ~ 3.30 - Low utilization

    5. Alameda Alliance for Health – Healthy Families Mental Health – Inpatient Current Year 2006 N = 10,013

    6. Alameda Alliance for Health – Healthy Families Mental Health – Outpatient Current Year 2006 N = 10,013

    7. Outpatient Visits PTMPY – Healthy Families 69 members accessing program 69/5485 = 1.25% Compared to PBHI ~ 3.30 - Low utilization69 members accessing program 69/5485 = 1.25% Compared to PBHI ~ 3.30 - Low utilization

    8. Alameda Alliance for Health Mental Health / Chemical Dependency Diagnostic Categories

    9. Alameda Alliance for Health Mental Health / Chemical Dependency Diagnostic Categories

    10. Summary Low Utilization Member Awareness? Provider Network Access? Size of network Geographic Scope of Services Cultural and Linguistic Contracting/Financing Renegotiation? Diagnostic Profile - inconclusive

    11. Recommendations Membership Services Submit GC,HF,HK roster to ACBHCS to ID any county services utilization Survey GC,HF,HK member sample on awareness of mental health services/benefits Inform members on service availability and how to access

    12. Recommendations Provider Services Inform Providers about: low utilization trends Services available Referral process (with ease!) Contracts & Finance Pursue PBH for analysis of low utilization trends Recruit Milliman Benchmarks for utilization Calculate approximate costs for current services Renegotiation of Contract: to achieve savings To increase utilization to benchmark levels

    13. Recommendations Pursue Alameda County Behavioral Health Care Services Collaboration Further analysis of overlapping members Improved coordination of care and information flow between PCPs and MHPs Pilot a collaboration model between AAH and ACBHCS to improve services and health outcomes for AAH Members

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