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OCAH outlines allocation method for non‑claims behavioral health spending and seeks input on taxonomy expansion for BH‑in‑primary‑care module
Summary
Consultants reviewed a proportional allocation method for non‑claims payments (infrastructure, capitation, performance) and proposed expanding the primary care provider taxonomy to capture behavioral health services delivered in integrated primary care settings; stakeholders asked for further detail and follow‑up.
Bob Seifert, a Friedman consultant supporting OCAH, reviewed the recommended approach for classifying non‑claims behavioral health payments. The approach applies the OCA expanded framework and uses rules and proportional allocations to limit recognition of general practice transformation and other infrastructure payments to the share attributable to behavioral health, based on claims and capitation proportions. Category‑specific rules were described for population health and practice infrastructure payments, performance payments, shared savings arrangements, capitation, and…
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