Recommendations To facilitate early interventions with members who may not be treatment adherent, pharmacy data should be provided to MBHP more frequently than monthly. 2016 CMS requires that assess the status of recommendations made in prior years. The table below describes MBHP’s follow up to last year’s recommendations. Exhibit 17: Follow Up to 2016 Recommendations Calendar Year 2016 Recommendation 2017 Update MBHP should conduct root-cause analysis to MBHP initiated several interventions focused determine factors contributing to members on improving the likelihood of follow-up not seeking or continuing with alcohol and treatment including doctor-to-doctor forums other drug dependence treatment and to support substance disorders in the implement interventions that target primary care setting, profiling of performance improvement. providers with site visits, and development of substance abuse materials that included coding information and motivational interviewing strategies to support primary care providers. MBHP may consider working with The PMV reporting set for MBHP has been MassHealth to determine whether there are updated since last year. other performance measures in need of improvement that should be formally reported in the future and retire some of the performance measures that had sustained high performance from formal reporting.
Recommendations To facilitate early interventions with members who may not be treatment adherent, pharmacy data should be provided to MBHP more frequently than monthly. 2016 CMS requires that assess the status of recommendations made in prior years. The table below describes MBHP’s follow up to last year’s recommendations. Exhibit 17: Follow Up to 2016 Recommendations Calendar Year 2016 Recommendation 2017 Update MBHP should conduct root-cause analysis to determine factors contributing to members not seeking or continuing with alcohol and other drug dependence treatment and implement interventions that target performance improvement. MBHP initiated several interventions focused on improving the likelihood of follow-up treatment including doctor-to-doctor forums to support substance disorders in the primary care setting, profiling of providers with site visits, and development of substance abuse materials that included coding information and motivational interviewing strategies to support primary care providers. MBHP may consider working with MassHealth to determine whether there are other performance measures in need of improvement that should be formally reported in the future and retire some of the performance measures that had sustained high performance from formal reporting. The PMV reporting set for MBHP has been updated since last year.
2017-mbhp-eqr-technical-report.docx