If you are considering a change from the first service reimbursement to global budgeting or some form of capitation, it will be important to understand the costs of delivering care under your planned integrated care model. Do you know what payment rate or global budget would be needed to sustain your planned service models?
These are complex but very challenging issues that can determine the sustainability of your efforts to integrate behavioral health and primary care and even the viability of your current organization.
Depending on the challenges your particular organization faces, you may consider the possibility of merging with other provider organizations or positioning yourself to be acquired by another organization that is larger and better capitalized. These are long-term strategy considerations that may be worthy of serious thought and investigation.
Sharing your thoughts and experiences with others in the community—both your local community and the online Community—can help generate ideas and solutions to problems.