Behavioral health
The catalyst for triple aim results
For payors, the pursuit of better outcomes, lower costs, and increased access has become the norm. Yet delivering measurable results for complex patients has been elusive. Why?
Unaddressed behavioral health needs are at the foundation of the highest costs. Member needs include a lack of access, poor coordination, and inappropriate utilization.
NovumHealth delivers value-based behavioral health management with a proven model — one that addresses these issues and improves results. We work across Commercial, Medicaid, and Medicare plans to accomplish this.
Improved access to care services
Current Challenges
- National average of 12 weeks to see a provider.
- Patients seek acute care settings as they wait for an outpatient provider.
NovumHealth Solutions
- Performance network slots for immediate access.
- Centralized 24/7 scheduling.
- Dedicated crisis stabilization program.
- Health Home facilities for vulnerable populations.
- Increased screening to drive more effective use of services.
95%
of Appointments Within 48 Hours
Coordination across levels of care
Current Challenges
- Lack of long-term follow-up after discharge from acute care settings.
- No coordination across continuums of care.
NovumHealth Solutions
- Rapid response mobile assessors to coordinate acute patients.
- Physicians maintain continuity of care from inpatient to outpatient settings.
- Embedded discharge counselors to coordinate outpatient care.
- Community-based care navigators help patients manage transitions.
- Community liaisons facilitate wraparound services.
Cost Reduction
25%
Appropriate use of behavioral care
Current Challenges
- Acute care providers are not incented to improve readmittance rates.
NovumHealth Solutions
- Rapid response triage at all inpatient settings to assess appropriateness of care.
- Community-based network steers patients to providers with highest quality.
- Alignment of provider network incentives with quality outcome scores.
90%
Reduction in Patient Complaints