TY - JOUR
KW - Aged
KW - Health services
KW - Humans
KW - Medicare
KW - Physicians, Primary Care
KW - Psychiatry
KW - United States
KW - behavioral health integration
KW - collaborative care model
KW - Health Care Reform
KW - primary care
AU - L. M. Marcotte
AU - A. Reddy
AU - L. Zhou
AU - A. Razliff
AU - J. Unutzer
AU - D. Chang
AU - J. M. Liao
A1 - 
AB - OBJECTIVE: The authors sought to describe the early use of collaborative care model (CoCM) and general behavioral health integration (BHI) billing codes among clinicians. METHODS: Counts and payments were calculated for accepted and denied claims for CoCM and general BHI services delivered to Medicare beneficiaries nationwide in 2017-2018. Payment and utilization data were stratified by clinical specialty and site of service. RESULTS: Overall, 10,294 CoCM and general BHI services were delivered in 2017, totaling $626,292 in payments, and 81,433 CoCM and general BHI services were delivered in 2018, totaling $7,442,985 in payments. Medicare denied 5% of services in 2017 and 32% in 2018. Most CoCM and general BHI services were delivered by primary care physicians in office-based settings. CONCLUSIONS: This study of codes designed to promote BHI revealed an eightfold increase in CoCM and general BHI use between 2017 and 2018. However, denied services represent a barrier, and use among eligible beneficiaries remains low.
AD - Department of Medicine (Marcotte, Reddy, Zhou, Liao) and Department of Psychiatry and Behavioral Science (Razliff, Unützer, Chang), School of Medicine, University of Washington, Seattle; Value and Systems Science Lab, Seattle (Marcotte, Reddy, Zhou, Liao).; Department of Medicine (Marcotte, Reddy, Zhou, Liao) and Department of Psychiatry and Behavioral Science (Razliff, Unützer, Chang), School of Medicine, University of Washington, Seattle; Value and Systems Science Lab, Seattle (Marcotte, Reddy, Zhou, Liao).; Department of Medicine (Marcotte, Reddy, Zhou, Liao) and Department of Psychiatry and Behavioral Science (Razliff, Unützer, Chang), School of Medicine, University of Washington, Seattle; Value and Systems Science Lab, Seattle (Marcotte, Reddy, Zhou, Liao).; Department of Medicine (Marcotte, Reddy, Zhou, Liao) and Department of Psychiatry and Behavioral Science (Razliff, Unützer, Chang), School of Medicine, University of Washington, Seattle; Value and Systems Science Lab, Seattle (Marcotte, Reddy, Zhou, Liao).; Department of Medicine (Marcotte, Reddy, Zhou, Liao) and Department of Psychiatry and Behavioral Science (Razliff, Unützer, Chang), School of Medicine, University of Washington, Seattle; Value and Systems Science Lab, Seattle (Marcotte, Reddy, Zhou, Liao).; Department of Medicine (Marcotte, Reddy, Zhou, Liao) and Department of Psychiatry and Behavioral Science (Razliff, Unützer, Chang), School of Medicine, University of Washington, Seattle; Value and Systems Science Lab, Seattle (Marcotte, Reddy, Zhou, Liao).; Department of Medicine (Marcotte, Reddy, Zhou, Liao) and Department of Psychiatry and Behavioral Science (Razliff, Unützer, Chang), School of Medicine, University of Washington, Seattle; Value and Systems Science Lab, Seattle (Marcotte, Reddy, Zhou, Liao).
BT - Psychiatric services (Washington, D.C.)
C5 - Financing & Sustainability; Healthcare Disparities
CP - 7
DO - 10.1176/appi.ps.202000265
IS - 7
JF - Psychiatric services (Washington, D.C.)
LA - eng
M1 - Journal Article
N2 - OBJECTIVE: The authors sought to describe the early use of collaborative care model (CoCM) and general behavioral health integration (BHI) billing codes among clinicians. METHODS: Counts and payments were calculated for accepted and denied claims for CoCM and general BHI services delivered to Medicare beneficiaries nationwide in 2017-2018. Payment and utilization data were stratified by clinical specialty and site of service. RESULTS: Overall, 10,294 CoCM and general BHI services were delivered in 2017, totaling $626,292 in payments, and 81,433 CoCM and general BHI services were delivered in 2018, totaling $7,442,985 in payments. Medicare denied 5% of services in 2017 and 32% in 2018. Most CoCM and general BHI services were delivered by primary care physicians in office-based settings. CONCLUSIONS: This study of codes designed to promote BHI revealed an eightfold increase in CoCM and general BHI use between 2017 and 2018. However, denied services represent a barrier, and use among eligible beneficiaries remains low.
PY - 2021
SN - 1557-9700; 1075-2730
SP - 822
EP - 825
EP - 
T1 - Provision of Collaborative Care Model and General Behavioral Health Integration Services in Medicare
T2 - Psychiatric services (Washington, D.C.)
TI - Provision of Collaborative Care Model and General Behavioral Health Integration Services in Medicare
U1 - Financing & Sustainability; Healthcare Disparities
U2 - 33853381
U3 - 10.1176/appi.ps.202000265
VL - 72
VO - 1557-9700; 1075-2730
Y1 - 2021
Y2 - Jul 1
ER -