BU S INES S OF
BEHAVIORAL HEALTH
DIVISION
S T R AT E G I C P L A N N I N G
2016-2017
OVERVIEW OF
THE BUSINESS OF BEHAVIORAL HEALTH
DIVISION
Create a business climate that supports behavioral health services and promotes ethical business
practices that protect patients.
• Foster a culture of partnership between behavioral health companies and regulatory agencies
• Builds relationships with insurance companies and other funders
• Promotes parity enforcement
• Workforce development and scope of practice expansion
• Promote ethical business practices that protect patients
• Networking & leadership training
2015-2016 STRATEGIC GOALS
Promote Ethical Business Practices & Foster a Culture of Partnership between Providers and
Regulatory Agencies
• Develop and promote legislation addressing unethical marketing practices
• Engage regulatory agencies in creating a healthy business environment
• Enhance relationships with insurance companies to promote parity and coverage for behavioral health
Leverage Opportunities from Businesses that Support Behavioral Health
• Develop a robust product line of services that benefit members
• Create opportunities for partnerships between public and private sectors
• Explore social enterprise models that maximize business opportunities
Create Public Awareness of Issues Facing Sustainability of Behavioral Health Treatment
Programs
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Analyze current workforce needs in substance abuse and mental health
Identify gaps in the substance abuse and mental health system
Review and make technology enhancements
Promote loan forgiveness strategies
SB 1138 & Ethical Practice Budget Proviso:
Comprehensive legislative package defining marketing practices,
clarifying patient brokering and enhancing transparency.
Legislature funded $275k for Palm Beach state attorney to
coordinate with law enforcement, regulatory agencies, FADAA and
others to make legislative recommendations for clarifying and/or
enhance existing laws, regulations, or practices to protect patients
and the public
Enhanced partnership with DCF:
Coordinating meeting with DCF and South Florida providers to address
licensure, communication, and ethical practice
Insurance Regulation:
Meetings with Office of Insurance Regulation and the Chief Financial
Officer’s Insurance Consumer Advocate
Private Health Plans:
Opened communication with private health plans on drug testing
utilization through Lab Practices Workgroup
OUTCOMES
GOAL 1:
Promote Ethical Business Practices &
Foster a Culture of Partnership
between Providers and Regulatory
Agencies
 Develop and promote legislation
addressing unethical marketing
practices
 Engage regulatory agencies in
creating a healthy business
environment
 Enhance relationships with
insurance companies to promote
parity
OUTCOMES
Affinity partnerships:
FADAA marketing team is currently in the process of
enhancing corporate partnerships to provide members with
value-added benefits
Social enterprise models:
Researching successful models to bring additional revenue
streams to providers
GOAL 2:
Leverage Opportunities from
Businesses that Support the
Behavioral Health Marketplace
 Develop a robust product line
of services that benefit
members
 Create opportunities for
partnerships between public
and private sectors
 Explore social enterprise
models that maximize business
opportunities
HB 977:
Includes FADAA language to expand background screening,
authorizing an individual upon initial screening, whose most
recent disqualifying offense was five years or longer, to work
with SA only population until final agency exemption
determination. FADAA also submitted a loan forgiveness
language that was not considered by the Legislature.
Health Information & Data:
Currently exploring option to enhance data analytics through a
Behavioral Health Information Exchange (HIE)
OUTCOMES
GOAL 3:
Create Public Awareness of issues
facing sustainability of behavioral
health treatment programs
 Analyze current workforce needs
in substance abuse and mental
health
 Identify gaps in the substance
abuse and mental health system
Participation in DCF Data enhancement workgroups
 Review and make technology
enhancements
HB 7087 Telehealth:
 Promote loan forgiveness
strategies
Promoted use of telehealth as an option to deliver behavioral
health services
Strength in numbers:
Mission statement
FADAA/FBHA marketing presentation
Consumer Protection:
Developed Values & Commitment Statement
Developing training materials for companies seeking SUD
licensees
Scope of practice laws
Health Insurance Coverage for OpioidDeterrent Drugs (SB 422)
Opens the door for parity promotion
OTHER
SUCCESSES
2015-2016
STRATEGIC
PRIORITIES
B U S I N E S S O F B E H A V I O R A L H E A LT H
2016-2017
Health Plan Relationships
• Champion innovative and win-win business/financial/payment models (MSOs etc)
• Build relationships with health plans & insurance companies; identifying EB models in other states
Leverage Opportunities from Businesses that Support the Behavioral Health Marketplace
• Develop a robust product line of services that benefit members (i.e. legal/compliance; marketing assistance etc)
• Explore social enterprise models that maximize business opportunities (various forms of integration – co-location, “warm” handoffs; followup with CSU discharges
Workforce Issues
• Develop opportunities for up and coming leaders; maintaining leadership tract at AC
• Addressing workforce shortages (loan forgiveness; background screening; enticing millennials; use of telehealth; enhancing peer support
specialists within company)
Standards
• Adopt Consumer Protection Standards/Bill of Rights and Company Values/Ethics
• Develop a plan for addressing ethical issues in the private substance use treatment market (explore statutory and regulatory changes)
• Actively participate in ethical practice initiative by state attorney
Education: Develop and Implement Education Plan
• Addiction, the role of the provider in the business, and the role of FBHA in the representing member interests
• Collaborate with stakeholders (AMA etc.) in reducing negative stigma around addiction
• Inform licensed providers on best practice standards, ethics, and patient brokering laws
Marketing – Housed within Division; FBHA goal
• Develop marketing plan to present to the board for adoption
• Champion new member drive
BUSINESS OF BEHAVIORAL HEALTH DIVISION: Strategic Goals 2016-2017