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Enhancing Behavioral Health Authority for Community Wellness

Explore the need for a broadened scope of the Behavioral Health Authority to better support providers, decrease fragmentation, and enhance consumer choice. Learn about management structures, missions, and tasks for a more efficient system of care.

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Enhancing Behavioral Health Authority for Community Wellness

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  1. Behavioral Health Authority Overview May 24, 2005 David S. Buck, MD, MPH

  2. Consultants • Henry Harbin, MD • Nancy Speck, PhD • Susan Stone, MD, JD

  3. 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

  4. 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

  5. Mixed Authority Structure • Harris County maintains some authority • Other authority contracted to vendors

  6. Behavioral Health Authority • Manage all mental health and substance abuse dollars • Subcontract with MHMRA • Manage mental health services • Manage distribution of substance abuse funds

  7. 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

  8. 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

  9. 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?

  10. Impact of Fee-for Service • Analyze and improve managed care • Claims adjudication • Credentialing • Network development • Maintenance

  11. 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

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