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Board delays benchmark but finalizes measurement approach for behavioral health spending
Summary
The board heard a detailed staff update on a claims‑ and non‑claims‑based method to measure behavioral health spending, a postponement of a formal spending benchmark until 2026, and plans to publish the definition for public comment in August.
The Office of Health Care Affordability presented a detailed methodology to the board for measuring behavioral health spending that combines claims‑based identification with rules for non‑claims payments and allocated capitation amounts. The office said it will not set a behavioral health spending benchmark this year; the board agreed to postpone adoption until 2026 to allow a full year of data collection and additional analysis. In the meantime, payers will report behavioral health data for 2024–2025 in 2026, and staff will publish a full data submission guide incorporating the definitions this fall. Why this matters: the statute requires the office to both measure behavioral health spending and later set a benchmark to encourage sustained capacity and improved access. Board…
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