Get Full Government Meeting Transcripts, Videos, & Alerts Forever!
OCA finds commercial behavioral‑health claims rose but recommends delay in setting investment benchmark
Summary
OCA presented HPD and other analyses showing commercial behavioral‑health spending rose between 2018 and 2023—driven mainly by outpatient professional services—and recommended delaying a statewide investment benchmark until further data collection and validation are complete.
The Office of Health Care Affordability (OCA) briefed the advisory committee on June 16 about behavioral health spending trends and recommended deferring adoption of a statewide behavioral‑health investment benchmark until OCA completes further data collection and analysis. What OCA found: Using a Milbank/Federal consensus code set applied to HPD commercial claims, OCA's preliminary analysis showed behavioral health spending in the commercial market rose from 6.6% of total claims spending in 2018 to about 8.2% in 2023. Much of the increase was concentrated in in‑network outpatient professional and facility services—"outpatient non‑primary care professional services" grew from about 33% to 43% of behavioral health spending during that period. Methods and limits: OCA and…
Already have an account? Log in
Subscribe to keep reading
Unlock the rest of this article — and every article on Citizen Portal.
- Unlimited articles
- AI-powered breakdowns of topics, speakers, decisions, and budgets
- Instant alerts when your location has a new meeting
- Follow topics and more locations
- 1,000 AI Insights / month, plus AI Chat
