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APA Seeks Examples of Innovative Practice Models

Tuesday, July 22, 2014   (0 Comments)
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APA Seeks Examples of Innovative Practice Models

The APA Practice Directorate Legal & Regulatory Affairs department is working on a Good Practice Magazine special issue on Alternative Practice Models. This information will be partly based on the materials presented at the State Leadership Conference this year. To make sure they capture as much information as possible, APA Practice Directorate has asked MPA to seek input from our members. Specifically, they are looking for examples from psychologists who have either started or work in the following different alternative practice models.

·         Referral Systems: Psychologists reach out to possible referral sources (hospitals, home health agencies, etc). This is an informal approach that is low-cost, low-risk.

·         Co-Location: Psychologists rent space (part or full time) in buildings where other health care providers are located.

·         Independent practice association (IPA): An IPA is a legal entity wherein, independent psychological practices can come together to work on common goals—such as contracting with a managed care company. The IPA allows for independent practitioners to contract with a managed care company or health system to provide services. Providers have to sign a “participating provider” agreement.

·         Management Services Organization (MSO): This is a larger model, potentially consisting of different types of members (Psychologists, Psychiatrists, LCSWs, counselors, etc.). The MSO is set up to become the behavioral healthcare provider for many organizations/payors (such as an ACO).  The MSO negotiates contacts for providers with the organizations that are looking for behavioral health providers. The MSO manages the behavioral healthcare and the contracts but does not provide the services directly.

 ·         Accountable Care Organizations (ACOs): An ACO is a network of doctors and hospitals (that comes together voluntarily) that shares financial and medical responsibility for providing coordinated care to patients in hopes of limiting unnecessary spending. Psychologists can participate in ACOs, but are not currently able to develop their own. When an ACO succeeds in delivering quality care and spending healthcare dollars appropriates, providers in the ACO share in the savings that are achieved.  These models require a large amount of clinical and financial integration

·         Merger: In this model, two parties sign an agreement to become one entity.

Please backchannel information to praclegal@apa.org about practitioners in your states that you feel would be helpful examples.


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