1 opportunities for eaps surviving the tidal wave of change. now what?? w. dennis derr ed.d. lpc...
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Opportunities for EAPs Surviving the Tidal Wave of
Change.
Now What??
W. Dennis Derr Ed.D. LPC BCPCStaff VP, Anthem Government Business Division
Medicaid/Medicare Behavioral Health
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Strategic Discussion AreasStrategic Discussion Areas
• A short walk down memory lane. A short walk down memory lane.
• Threats and Opportunities as a result of historical Threats and Opportunities as a result of historical Disruption Innovation in Health and Benefits as a Disruption Innovation in Health and Benefits as a result of Managed Care, the Affordable Care Act, result of Managed Care, the Affordable Care Act, Demographics, TechnologyDemographics, Technology
• Impact of the coming self accountability focus via Impact of the coming self accountability focus via technology, benefit changes and generational shiftstechnology, benefit changes and generational shifts
• Future Opportunities for EAP professionals Future Opportunities for EAP professionals including the Expanding Medicaid Medicare market.including the Expanding Medicaid Medicare market.
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Disruptive Innovation is here!Disruptive Innovation is here!
A A disruptive innovationdisruptive innovation is is an an innovationinnovation that helps create a that helps create a new market and value network, and new market and value network, and eventually disrupts an existing eventually disrupts an existing market and value network (over a market and value network (over a few years or decades), displacing few years or decades), displacing an earlier technology.an earlier technology.
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EAP Memory LaneEAP Memory Lane
1970’s The growth of internal EAPs….Insurance payments for mental health
1980’s Random drug testing…….Birth of Managed Behavioral Health……Hughes Aircraft EAP medical savings study published.
1990’s External EAPs begin to replace internal EAPs……Worklife Programs and Wellness Programs rise in popularity. Rise of global EAPs
2000’s Internal EAPs are endangered species…..extensive price competition in behavioral health benefits, medical cost rises fastest in history, benefits cost savings (lowest price) focus. Mental Health Parity and the Affordable Care Act passed. Technology rise.
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What do you think?What do you think?Average session payment MSW through Average session payment MSW through
InsuranceInsurance
$75$64
$0$20$40$60$80
$100$120$140$160$180$200
1980 2014
MSW Session
FactoringInflation
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The Current State of the EAP LandscapeThe Current State of the EAP Landscape
• EAP/Worklife continues to be a bundled 3EAP/Worklife continues to be a bundled 3ndnd or 4th or 4th tier product in the insurance industry. tier product in the insurance industry.
• EAP/Worklife continues the march downward as a EAP/Worklife continues the march downward as a commodity price product. Recent 3 session commodity price product. Recent 3 session prices:prices:– 10 cents PMPM for a large midwest manufacturer,10 cents PMPM for a large midwest manufacturer,– 5 cents PMPM as part of an employee disability plan 5 cents PMPM as part of an employee disability plan
seller. seller.
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Current State of the EAP/Worklife Current State of the EAP/Worklife IndustryIndustry• EAP/Worklife is already being EAP/Worklife is already being
included on a limited “free” basis included on a limited “free” basis into medical plans provided on into medical plans provided on Federal and Private Health Federal and Private Health Exchanges. Exchanges.
• Movement to control cost by driving Movement to control cost by driving most services to self service on the most services to self service on the web and reduce call center staff and web and reduce call center staff and limit face to face provider costs.limit face to face provider costs.
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What do you think? What do you think? Cost of EAP 3 session model 1986-Cost of EAP 3 session model 1986-
20142014
$0.00
$0.50
$1.00
$1.50
$2.00
$2.50
$3.00
1986 2014
19862014
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Questions to Ponder?Questions to Ponder?
• If the average EAP utilization is 3-5% annually, is If the average EAP utilization is 3-5% annually, is it worth covering the other 95-97%?it worth covering the other 95-97%?
• If employers have been doing health risk If employers have been doing health risk appraisals and offering wellness programs for 25 appraisals and offering wellness programs for 25 years…..why are we less healthy?years…..why are we less healthy?
• Why is the user satisfaction rate with a disdained Why is the user satisfaction rate with a disdained aggressive low price EAP company, the same aggressive low price EAP company, the same level as more expensive traditional EAPs?level as more expensive traditional EAPs?
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Affordable Care State Exchange Public Exchange
Federal Exchange Medical Home
CoordinatedAccountableCare
Medicaid Expansion
AccountableCareOrganization
IntegratedCareCoordinator
BronzePlan
GoldPlan
PlatnumPlan
Private Exchange Minimum Actuarial ValueMaximumWeekly Hours
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Disruptive Affordable Care Act BasicsDisruptive Affordable Care Act Basics
• Effective 1/1/14 every American had Effective 1/1/14 every American had to have health insurance provided to have health insurance provided either by their employer, through a either by their employer, through a state health exchange, or individual state health exchange, or individual purchase.purchase.
• Small employers with fewer than 50 Small employers with fewer than 50 full time equivalent employees are full time equivalent employees are exempt from any penalties.exempt from any penalties.. .
. .
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Disruptive Impact of the Affordable Care ActDisruptive Impact of the Affordable Care Act
• In states (23) that did not support the expansion In states (23) that did not support the expansion of Medicaid through the Act or by setting up of Medicaid through the Act or by setting up exchanges, saw reductions in federal funding for exchanges, saw reductions in federal funding for substance abuse and mental health treatment.substance abuse and mental health treatment.
• Private Exchanges set up by Aon, Mercer and Private Exchanges set up by Aon, Mercer and
other consultants continue to grow offering other consultants continue to grow offering providing ease of participation for employers who providing ease of participation for employers who want a single service point and no accountability.want a single service point and no accountability.
• ..
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Disruptive Impact of the Affordable Care ActDisruptive Impact of the Affordable Care Act
• Federal exchange prices and coverage are Federal exchange prices and coverage are pushing employers to match pricing and coverage pushing employers to match pricing and coverage options with insurers.options with insurers.
• Within the Exchange markets some level of “free” Within the Exchange markets some level of “free” EAP is being built in through bulk purchase EAP is being built in through bulk purchase contracts with EAP marketers. This will continue contracts with EAP marketers. This will continue to reduce the price and likelihood of success in to reduce the price and likelihood of success in the free standing EAP sales market.the free standing EAP sales market.
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Disruptive Impact of the Affordable Disruptive Impact of the Affordable Care ActCare Act
• Free EAP continues to be added in at expanded Free EAP continues to be added in at expanded levels by insurers, delivered primarily via web levels by insurers, delivered primarily via web based and telephonic services to hold down costs.based and telephonic services to hold down costs.
• Already some employers are questioning if they Already some employers are questioning if they go into the exchange what responsibility do they go into the exchange what responsibility do they have for add on benefits like EAP and Worklife?have for add on benefits like EAP and Worklife?
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Disruptive Impact of the Affordable Disruptive Impact of the Affordable Care ActCare Act
• Remember that under parity and the Remember that under parity and the DOL EAP rule EAP can not be a DOL EAP rule EAP can not be a substitute for behavioral health substitute for behavioral health coverage or be considered as coverage or be considered as providing treatmentproviding treatment..
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Employer Response to the Affordable Care Employer Response to the Affordable Care ActAct
• Employers are moving toward a “Chinese menu” Employers are moving toward a “Chinese menu” approach to benefits and services, buying only approach to benefits and services, buying only what they need for a specific situation. EAP and what they need for a specific situation. EAP and Worklife, may become an “as needed” non Worklife, may become an “as needed” non essential service like CISD or Fitness for Duty essential service like CISD or Fitness for Duty evaluations. evaluations.
• Self Insured Employer’s providing healthcare can Self Insured Employer’s providing healthcare can deduct incentive costs for certain participatory deduct incentive costs for certain participatory wellness programs and health-contingent wellness programs and health-contingent wellness programs limited to smoking, metabolic wellness programs limited to smoking, metabolic syndrome, fitness program or educational syndrome, fitness program or educational program participation, weight reduction.program participation, weight reduction.
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Employer Response to the Affordable Care ActEmployer Response to the Affordable Care Act
• According to The Prudential Insurance According to The Prudential Insurance Company of America’s (Prudential’s) Company of America’s (Prudential’s) Seventh Annual Study of Employee Seventh Annual Study of Employee Benefits: nearly a third (31%) say it’s likely Benefits: nearly a third (31%) say it’s likely that fewer employers will offer health that fewer employers will offer health insurance coverage. insurance coverage.
• Mid-size employers (500 to 9,999 Mid-size employers (500 to 9,999 employees) anticipate a greater impact on employees) anticipate a greater impact on all aspects of employee benefits compared all aspects of employee benefits compared to small or large companies. to small or large companies.
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Employer Response to the Affordable Care ActEmployer Response to the Affordable Care Act
• Sixty-eight percent say that health care Sixty-eight percent say that health care reform will have a significant impact on reform will have a significant impact on employee benefits funding, and 61% say it employee benefits funding, and 61% say it will have a significant impact on employee will have a significant impact on employee benefits communications. Large benefits communications. Large companies (10,000+ employees) were less companies (10,000+ employees) were less likely to say that the number of employee likely to say that the number of employee benefits offered will be impacted.benefits offered will be impacted.
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Employer Response to the Affordable Care Employer Response to the Affordable Care ActAct
• Large service industries are considering Large service industries are considering utilizing PEO’s (Personal Employment utilizing PEO’s (Personal Employment Organizations) to fill needs via a Organizations) to fill needs via a contracting mechanism that releases contracting mechanism that releases them from healthcare obligations and them from healthcare obligations and allows more flexibility in seasonal allows more flexibility in seasonal staffing needs and overhead staffing needs and overhead management. This would allow for a management. This would allow for a split workforce benefit offering without split workforce benefit offering without being discriminatory.being discriminatory.
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Walmart Bails On Obamacare-Sticks Taxpayers With Employee Healthcare Costs Forbes 12/09/12
Applebee’s CEO Threatens to Fire Employees And Freeze Hiring Because of ObamaCare
Washington Post, November 9, 2012
Wendy’s Franchise Cuts Employee Hours to Part Time to Avoid ObamaCare
USATODAY 1/ 07/13
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The costs of Obamacare are not just hitting businesses this year--they are also hitting the government, and public employees as well. Virginia, for example, is about to limit part-time employees to 29 hours per week in order to avoid triggering Obamacare’s requirement that employers provide health insurance to those working 30 hours per week or more. The state cannot afford the $110 million annual cost of insurance. Elsewhere, public institutions are taking similar steps to limit part-time work. In Ohio, Youngstown State University recently announced a 29-hour-per-week part-time limit, and placed employees on notice that they would be fired if they worked more than the maximum. Other public universities are doing the same across the nation, just as their private-sector counterparts are limiting part-time hours to avoid the Obamacare rule.
States Cutting Hours to Avoid Obama Care Fox News 2/13/13
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Disruptive Impact of The AffordableDisruptive Impact of The AffordableCare Act so far….Care Act so far….
• Retail and service industries have Retail and service industries have been eliminating healthcare been eliminating healthcare coverage, by reducing weekly hours coverage, by reducing weekly hours below 30 per week, paying fines, or below 30 per week, paying fines, or changing employee status. Wal-Mart changing employee status. Wal-Mart is already manages hours to ensure is already manages hours to ensure the majority of their employees stay the majority of their employees stay under the 30 hour threshold. under the 30 hour threshold.
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Be ScaredBe ScaredSmall business insurance market from health law delayed a year
By Bloomberg News ServiceApril 2, 2013Small business employees will have to wait a year before they can choose their own medical plans after the Obama administration delayed a part of the 2010 Patient Protection and Affordable Care Act intended to provide them with coverage options. Starting in 2014, workers at companies with fewer than 100 employees were supposed to have been able to choose from a variety of health plans through new small business insurance marketplaces. They’ll instead wait until at least 2015, according to regulations released by the U.S. Department of Health and Human Services. In the meantime, small business employees will face a situation similar to what most companies offer, with their employers choosing the coverage. Health insurers will still offer the plans, though they’ll be competing for business from companies, not individuals.
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Be ScaredBe Scared
Likely impact will be to further drive small businesses to force employees into exchanges as individuals tobe able to collect the tax benefits of covering their own healthcare cost. Small business’ that have current health insurance coverage may face increases in premium costs, pushing the Increase onto the employee, or stop providing health care benefits completely.
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Employer Response to the Affordable Care Employer Response to the Affordable Care ActAct
• Managing the physical and psychological aspects Managing the physical and psychological aspects of a newly insured population still falls on primary of a newly insured population still falls on primary medical professionals under the medical home medical professionals under the medical home model and affordable care organizations not the model and affordable care organizations not the employer. Non self insured employers will feel less employer. Non self insured employers will feel less motivation to support employee wellness or other motivation to support employee wellness or other programs without a direct business cost value ratio programs without a direct business cost value ratio for doing so.for doing so.
• For large employers or those in highly competitive For large employers or those in highly competitive talent industries, they are likely to maintain a high talent industries, they are likely to maintain a high level of broad benefits to maintain staff. This group level of broad benefits to maintain staff. This group represents < 20% of the employed workforce.represents < 20% of the employed workforce.
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Disruptive Impact of The AffordableDisruptive Impact of The AffordableCare Act so far….Care Act so far….
• According to Mercer an estimated 30% of small businesses (<500 ees) moved their employees into the State or Public Exchange Markets in 2014, estimated to increase to +50% by 2015.
• Private exchanges have grown in 2015 for employers, and employees to shop for benefits.
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Disruptive Impact of The AffordableDisruptive Impact of The AffordableCare Act so far….Care Act so far….
• Major insurers estimate that by 2015 Major insurers estimate that by 2015 30-50% of their revenue (not profit) 30-50% of their revenue (not profit) will come through individual will come through individual purchases via the State or Private purchases via the State or Private Exchanges. With growingExchanges. With growing
revenue from Medicaid and revenue from Medicaid and Medicare.Medicare.
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The way in which health and medicine is The way in which health and medicine is practiced today is no longer sustainable. practiced today is no longer sustainable.
Health insurers, medical professionals will Health insurers, medical professionals will in the next 3 years quickly become the in the next 3 years quickly become the
extension of a mobile or web application”.extension of a mobile or web application”. M. Bertollini, CEO, Aetna, Keynote at the 2012, M Health Global M. Bertollini, CEO, Aetna, Keynote at the 2012, M Health Global
ConferenceConference
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•Over 30,000 health focused Over 30,000 health focused mobile apps were developed in mobile apps were developed in 20132013
•Over 1M websites are related to Over 1M websites are related to individual health issues or individual health issues or treatmenttreatment
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• Smartphone applications are an emerging Smartphone applications are an emerging delivery model for services that are:delivery model for services that are:– Structured and based on a simple decision Structured and based on a simple decision
matrixmatrix– Reinforcing or reminding of specific behaviors Reinforcing or reminding of specific behaviors
or activitiesor activities– Provide information (video / text) and allow for Provide information (video / text) and allow for
further explorationfurther exploration– Can be easily adaptable/customizable for Can be easily adaptable/customizable for
specific patient conditionsspecific patient conditions
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Disruptive e-Health TrendsDisruptive e-Health Trends(Mobile, Web, Tablet)(Mobile, Web, Tablet)
• Lab in a stamp (<$1) being validated for use with urineLab in a stamp (<$1) being validated for use with urine
or blood with 16 diagnostic diseases on one card.or blood with 16 diagnostic diseases on one card.
• ECG on mobile device is in final FDA approvalECG on mobile device is in final FDA approval
• FDA has issued preliminary review and approval regulations FDA has issued preliminary review and approval regulations for health apps. Telcoms partnering with developers.for health apps. Telcoms partnering with developers.
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The Truth About Apps and WebThe Truth About Apps and Web
• Health and Behavior Mobile app Health and Behavior Mobile app effectiveness is linked to being an effectiveness is linked to being an integrated critical part of the treatment integrated critical part of the treatment plan by the treating professional.plan by the treating professional.
• Condition specific texting and rewards for Condition specific texting and rewards for response has shown clinical effectiveness response has shown clinical effectiveness in various populations and cultures beyond in various populations and cultures beyond Smartphone apps.Smartphone apps.
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The Truth About Health Apps and WebThe Truth About Health Apps and Web
• With a technology and web skilled population what With a technology and web skilled population what is the single point of use value?is the single point of use value?
• Mobile and Tablet Apps are designed for specific Mobile and Tablet Apps are designed for specific use and have limited long-term continued useuse and have limited long-term continued use
– Most continually used apps according to Most continually used apps according to “AppWorld” are: “AppWorld” are: 1. Music, 2. Social, 3. Games. 4. Porn 1. Music, 2. Social, 3. Games. 4. Porn
5. Navigation 5. Navigation – Beyond the top 5 which have daily use, all others Beyond the top 5 which have daily use, all others
loose appeal within 14 days and are used one loose appeal within 14 days and are used one average once per month.average once per month.
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e-CBT Preferred e-CBT Preferred
Most of the British Most of the British Commonwealth’s Commonwealth’s NHS’ now NHS’ now recommend e-CBT recommend e-CBT as more effective as more effective than face to face than face to face counseling based counseling based on research on research
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E-CBT AppsE-CBT Apps
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The Truth About Behavioral and Health Apps The Truth About Behavioral and Health Apps and Websitesand Websites
• According to web experts most apps and websites According to web experts most apps and websites in the health industry are too busy, complex and in the health industry are too busy, complex and not engaging.not engaging.
• Much of what is available on EAP/Work Much of what is available on EAP/Work Life/Wellness websites is available in the public Life/Wellness websites is available in the public domain of the web. domain of the web.
• Community “helpline” services are growing in Community “helpline” services are growing in metropolitan areas. Sponsored by private entities, metropolitan areas. Sponsored by private entities, governmental agencies they provide general governmental agencies they provide general information, child/eldercare resources and local information, child/eldercare resources and local resources. resources.
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Truth About EAP/Behavioral Health Websites Truth About EAP/Behavioral Health Websites and Mobile Appsand Mobile Apps
• Format and design are primarily focused Format and design are primarily focused on; on; – Informational-articles on health, Informational-articles on health,
condition education etc.condition education etc.– Convenience- Find a counselor, simple Convenience- Find a counselor, simple
screeningsscreenings– One time use or special need single use One time use or special need single use
tools.tools.
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Truth About EAP/Behavioral Health Websites Truth About EAP/Behavioral Health Websites and Mobile Appsand Mobile Apps
• Little user motivation for continual engagement for Little user motivation for continual engagement for behavior change.behavior change.– Sites are usually “static” in content and designSites are usually “static” in content and design– Actual user registration with more than one use Actual user registration with more than one use
is usually < 1% of covered population is usually < 1% of covered population – Most EAPs/BH report cumulative registered users Most EAPs/BH report cumulative registered users
or web page visits which distorts web utilization.or web page visits which distorts web utilization.
• Inclusion of Wellness, Financial and a variety of Inclusion of Wellness, Financial and a variety of Work Life topics increases density of site while Work Life topics increases density of site while decreasing engagement usability. More is not decreasing engagement usability. More is not better.better.
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The Future is Virtual Delivery of ServiceThe Future is Virtual Delivery of Service
• Reducing costs of delivery, while Reducing costs of delivery, while maintaining quality service levels is critical maintaining quality service levels is critical in the behavioral field.in the behavioral field.
• Options to consider:Options to consider:– Management App that provides basic Management App that provides basic
tools, screening, instructional videos tools, screening, instructional videos and resources.and resources.
– Employee/Family App that provides Employee/Family App that provides basic screening tools, instructional basic screening tools, instructional videos and resources for employees. videos and resources for employees.
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Maybe We Should Do Wellness?Maybe We Should Do Wellness?
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Wellness, Wellbeing, Health Risk AppraisalsWellness, Wellbeing, Health Risk Appraisalsand EAP/Behavioral Healthand EAP/Behavioral Health
• Wellness is not new to EAP. Wellness is not new to EAP. – First EAP sponsored wellness HRA was through Dr. First EAP sponsored wellness HRA was through Dr.
Eddington of U of Michigan and Michigan Bell EAP in Eddington of U of Michigan and Michigan Bell EAP in
19821982. .
• Since American’s have been taking Since American’s have been taking HRAs for over 30 years what is the HRAs for over 30 years what is the level of health improvement?level of health improvement?
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Wellness, Wellbeing, Health Risk AppraisalsWellness, Wellbeing, Health Risk Appraisalsand EAP/Behavioral Healthand EAP/Behavioral Health
• To expand appeal of EAP many are To expand appeal of EAP many are incorporating Wellness links or programs. incorporating Wellness links or programs. ValueOptions-Limeaid, Magellan-ValueOptions-Limeaid, Magellan-HealthCoach, PPCW-Wellbeing HRAHealthCoach, PPCW-Wellbeing HRA
• Co morbidity of psycho-social distress, Co morbidity of psycho-social distress, mental health conditions and health mental health conditions and health although well documented continues to be although well documented continues to be seen as separate issues by employers, plan seen as separate issues by employers, plan participants and the medical focus of major participants and the medical focus of major insurance organizations. insurance organizations.
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Is Wellness Via EAP Viable?Is Wellness Via EAP Viable?
• EAPs as Wellness vendors are weak in direct competition EAPs as Wellness vendors are weak in direct competition with stronger better funded Wellness marketing with stronger better funded Wellness marketing organizations, disease management etc., with product organizations, disease management etc., with product integration, extensive apps and web capability. integration, extensive apps and web capability.
• Stand alone Wellness providers (ActiveHealth, Healthways, Stand alone Wellness providers (ActiveHealth, Healthways, etc.) did not get a significant boost due to the ACA etc.) did not get a significant boost due to the ACA definitions of wellness for self insured employers despite definitions of wellness for self insured employers despite mandatory “wellness” componets in ACA legislation.mandatory “wellness” componets in ACA legislation.
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Is Wellness Via EAP even Viable?Is Wellness Via EAP even Viable?
• Current Market confusion on what constitutes Current Market confusion on what constitutes wellness is now being defined by the recent ACA wellness is now being defined by the recent ACA rules on incentives limiting offerings.rules on incentives limiting offerings.
• Publication of “Why Nobody Believes the Publication of “Why Nobody Believes the Numbers” by Al Lewis and “Cracking Health Numbers” by Al Lewis and “Cracking Health Costs” by Tom Emerick and Al Lewis have excited Costs” by Tom Emerick and Al Lewis have excited the benefit field by pointing out the failure of the benefit field by pointing out the failure of Wellness and disease managementWellness and disease management. .
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Now that we are depressed!!!!!!Now that we are depressed!!!!!!
What is an EAP professional to do????????
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TO PREPARE FOR THEFUTURE
CREATE IT
TO PREPARE FOR THE FUTURE
YOU NEED TO CREATE IT
NOW!
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Reading the Tea leaves Reading the Tea leaves
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Your ReadingYour Reading• Pay attention to changing demographicsPay attention to changing demographics
– 1+ Million baby boomers are retiring every month.1+ Million baby boomers are retiring every month.– More than half the US population is now covered by a form of More than half the US population is now covered by a form of
government healthcare and growing.government healthcare and growing.– Majority of workers are now either part time, contracted or occasional.Majority of workers are now either part time, contracted or occasional.
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Your Reading…..Your Reading…..
• Public Sector Healthcare (Medicaid/Medicare) will continue Public Sector Healthcare (Medicaid/Medicare) will continue to growto grow– 8 newly elected Republican governors are now looking to 8 newly elected Republican governors are now looking to
expand Medicaid in their statesexpand Medicaid in their states– Biggest influencers in healthcare are government –CMS-VA-Biggest influencers in healthcare are government –CMS-VA-
TricareTricare– ACA enrollment is growing in year 2ACA enrollment is growing in year 2– Major insurers are buying and consolidating Medicaid/Medicare Major insurers are buying and consolidating Medicaid/Medicare
managed care companies to establish strong growth positions. managed care companies to establish strong growth positions.
Aetna- Centene, Anthem – Amerigroup, Cigna -?Aetna- Centene, Anthem – Amerigroup, Cigna -?– Healthcare has surpassed US manufacturing in employment in Healthcare has surpassed US manufacturing in employment in
the USthe US– ““Beds, Meds and Eds”Beds, Meds and Eds”
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Your Reading……Your Reading……
• Fastest growing area of behavioral health is in Medicaid/Medicare.Fastest growing area of behavioral health is in Medicaid/Medicare.
• Growth in integrated physical and behavioral health in Medicaid Growth in integrated physical and behavioral health in Medicaid was responsible for record profits for Anthem BCBS. (was responsible for record profits for Anthem BCBS. (Billions of $$Billions of $$$)$)
• CMS parity rulings are expanding the role of BH in integrated CMS parity rulings are expanding the role of BH in integrated physical and behavioral health.physical and behavioral health.– CMS Autism Parity Letter to StatesCMS Autism Parity Letter to States– CMS NCQA requirements for BH and PHCMS NCQA requirements for BH and PH– Expansion of Substance Abuse benefits.Expansion of Substance Abuse benefits.– Expected Behavioral Outcome Measures with penalties and incentives Expected Behavioral Outcome Measures with penalties and incentives
in 2015in 2015
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Your reading…….Your reading…….
• You have skills, talents and experience that creates an You have skills, talents and experience that creates an
entrepreneurial entrepreneurial opportunity for your future in opportunity for your future in public sector behavioral health. You can create or adapt to public sector behavioral health. You can create or adapt to take advantage of the growth over the next 10 years.take advantage of the growth over the next 10 years.
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So Where the Entrepreneurial So Where the Entrepreneurial Opportunities?Opportunities?
– Follow Up post discharge coordination and supportFollow Up post discharge coordination and support– Preventive or ER behavioral health assessment and referralPreventive or ER behavioral health assessment and referral– Post hospitalization care coordination supportPost hospitalization care coordination support– Educational support for chronic populations (NY HARP)Educational support for chronic populations (NY HARP)– Special needs consultationSpecial needs consultation– Onsite Medical Home BH coordinationOnsite Medical Home BH coordination– Autism support servicesAutism support services– Life Skills training, housing resources.Life Skills training, housing resources.
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Your ReaYour Readding………ing………
Where are the Opportunities with Employers?Where are the Opportunities with Employers?
• Rethink the value proposition around what Rethink the value proposition around what employers will value most with changing employers will value most with changing demographics.demographics.– Crisis response (limited business growth Crisis response (limited business growth
model)model)– Immediate interventions (limited business Immediate interventions (limited business
growth)growth)– On demand Consultation for workplace On demand Consultation for workplace
issues/interventions/trainingissues/interventions/training
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Your ReaYour Readding………ing………
Where are the Opportunities with Employers?Where are the Opportunities with Employers?
Focus on Leadership training at the front line level.Focus on Leadership training at the front line level.– Offer as part of your practice (Coaching +)Offer as part of your practice (Coaching +)– Solve the demographic leadership problem for Solve the demographic leadership problem for
employersemployers– Deliver through alternative sources (continuing Deliver through alternative sources (continuing
education, social media, religious institutions)education, social media, religious institutions)
• Be innovative and be brave. Remember that when faced Be innovative and be brave. Remember that when faced with change or moving forward, most people put most of with change or moving forward, most people put most of their effort in preventing or denying the existance the their effort in preventing or denying the existance the change occurring around them.change occurring around them.
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Be innovative and be braveBe innovative and be brave. .
Remember that when faced with change or moving forward, most Remember that when faced with change or moving forward, most people put most of their effort in preventing or denying the existence people put most of their effort in preventing or denying the existence the change occurring around them.the change occurring around them.
The failure rate of not trying is always 100%
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A competitive advantage begins with a launch process, in which an organization identifies an opportunity and mobilizes resources to capitalize on it.
