Embracing Integrated Care Solutions for Mental Health

Younger Americans now view mental health as the most pressing public health threat, outranking access to firearms, cancer and COVID-19, according to an Axios-Ipsos poll.​ Interestingly, this poll reveals that Americans now believe mental health is rising to the same level of need and concern as physical health. When you also consider that 1 in 5 U.S. adults experience mental illness each year, half of which go without treatment (28 million people, according to NAMI), it’s easy to visualize how prevalent and dire this crisis is and why greater awareness and action are needed.

State governments and healthcare entities such as providers and health plans must recognize the need for greater coordination between our healthcare system’s physical and mental health segments. We must coordinate to adequately address the systemic barriers to access that have continued unabated for too long.

The fact remains that mental health issues are physical health issues. The health of our bodies and minds are inextricably linked. In the Axios-Ipsos poll about top health threats, all of the listed concerns have a mental health corollary or co-occurring consequence. For example, people who struggle with obesity, cancer and substance use disorder may also have mental health concerns. In the same way, mental health concerns often have physical impacts, as many people may struggle to tend to ongoing physical health needs when coping with mental health challenges.

When state governments and organizations invest in addressing mental health crises on par with physical health struggles, only then can mental healthcare be addressed at a more sustainable scale. Due to outdated funding models and disparate state-by-state priorities on supporting mental and physical healthcare, integration remains a challenge. The result is a disjointed approach to integrating mental and physical health and a lack of financial incentives to integrate the two at a state and national level. To change this, policy changes and incentive programs are required to integrate mental and physical health.

In addition to policy and monetary incentives as a long-term, sustainable solution to care integration, coordinating physical and mental health requires real-time data assistance and unified technology programs to avoid exacerbating existing issues of data siloes and provider burnout in the interim. With the Innovation in Behavioral Health Model taking effect this spring, which supports states in bridging the gap in behavioral and physical healthcare specifically for Medicare and Medicaid populations, many states may soon opt into the integrated care model without yet having a centralized platform to pull all care coordination data together. These technology solutions can offer one piece of the puzzle by providing smaller-scale care coordination updates with a significant impact on improving patient access and care while more time is needed for incentives to take effect.

Throughout Mental Health Awareness Month, we must confront the staggering reality of untreated mental illness in America. From updating funding models to implementing technology that provides real-time care insights, there are tangible steps we can take to bridge the gap between mental and physical healthcare. As we move forward, we can work together to prioritize the well-being of all individuals by ensuring that mental health receives the attention and resources it deserves. Only through collaboration and innovation can we truly address the crisis of untreated mental illness and create a healthier, more resilient society for generations to come.

For more information on alleviating healthcare data silos, contact us.

Creating Tomorrow’s Health: Insights From the Bamboo Health Team at HIMSS 2024

In March 2024, Bamboo Health took part in the 2024 HIMSS Global Health Conference & Exhibition in Florida, which centered on the theme of “creating tomorrow’s health.” The conference brought together experts from across hospitals, health systems and other healthcare technology-focused organizations.

We sat down with the Bamboo team members who attended HIMSS to learn more about their key takeaways from presentations, conversations and more.

Q: Leveraging technology has been discussed across the healthcare system, and this discussion continued at HIMSS. What insights were shared at the conference about how providers can use data insights to improve patient satisfaction and retention rates within their own organizations?

A: To move the needle on patient outcomes, retention and patient satisfaction, you need data that key healthcare coordinators (registered nurse care coordinator, care manager, social worker, etc.) can use in the moments that matter.Health systems are inundated with data from interoperability frameworks, health plans, electronic health records (EHRs) and more, so they don’t need more of those inputs in 10 different places. Organizations need simple, actionable and easily accessed insights. There are several pivotal moments in which engaging patients in real-time could lead to better outcomes. For example, many organizations could benefit from identifying a patient at risk of readmission and ensuring prompt primary care follow-up when they are discharged from an out-of-network hospital or by identifying a patient spending over a week in a skilled nursing facility for an issue that could have been discharged sooner. These are the moments that will drive the greatest impact on the bottom line, but more importantly, those are the patients that drive the greatest impact on high-quality, low-cost care. 
 – Ellen Solomon, Senior Growth Director

A: One of the key approaches we take is identifying where and when patients have care transition events.  Superb care coordination requires an understanding of when and where patients receive care – but it must be real-time, actionable and embedded in daily workflows.
 – Ken Cassell, Vice President of Growth

Q: One of the hot topics at the conference was about qualified health information networks (QHINs) and EHRs. How do you see the role of interoperability standards evolving in the context of these tools?

A: As technology continues to advance and the healthcare landscape becomes increasingly data-driven, the role of interoperability standards must continue to drive the path forward toward efficiency, transparency and speed to insights. Interoperability standards will likely continue to focus on standardizing data and structure to ensure that information can be seamlessly interpreted across platforms at speed. As a result, we’ll see a continued push towards Fast Healthcare Interoperability Resources (FHIR)-based API adoption to access the wealth of information available in EHRs and QHINs. Partnering with the right kind of facilitator will be crucial to any data insights-driven initiative in the healthcare industry.
 – Kamilla Ionesian, Senior Partnerships Manager

Q: During HIMSS, what were some of the key challenges and opportunities highlighted that health plans are currently facing?

A: Navigating care transitions with provider organization partners can be a challenge, especially when capturing those transitions in a timely enough fashion to positively influence outcomes. Health plans are working to find opportunities to improve real-time collaboration with provider organizations. In this way, HEDIS quality measures and STAR ratings offer ongoing opportunities for improvements. There is an opportunity to improve outcomes tied to these quality measures by increasing the engagement/alignment of all the members of the healthcare team.
– Tony Murdoch, Vice President of Growth

Q: HIMSS partially focused on utilizing EHRs and qualified health information networks (QHINs). How can technology vendors work with these organizations? How can organizations better leverage and understand these data-sharing tools?

A: While initiatives like the Trusted Exchange Framework and Common Agreement (TEFCA) and advancements in EHRs are improving data accessibility and integration, the persistent existence of healthcare silos (EHRs, state-lines, full care continuum / community-based providers, etc.) underscores the crucial role of technology vendors beyond EHRs in organizational success. Technology vendors can play a pivotal role in advancing interoperability and driving innovation in the healthcare industry by focusing on specialization and alignment with existing healthcare infrastructure. This approach fosters collaboration with key stakeholders and enhances the delivery of high-quality care to patients.
– Ellen Solomon, Senior Growth Director

Q: Bamboo Health also received the Black Book award for highest client satisfaction at HIMSS. Can you tell us more about this and what this means to you as part of the customer success team?

A: It’s an honor to receive the Black Book award among many of our esteemed peers. Our entire team is only further committed to maintain these high standards of customer success and to continue to be a trusted and helpful partner in the healthcare community.
– Jennifer Schmidt, Senior Manager of Customer Success

If you missed us at HIMSS this year, contact us to continue this discussion or meet us at an upcoming conference.

Regulatory Pulse From the Desk of Vatsala Kapur, VP of External Affairs

Our complex public health system requires ongoing monitoring to stay abreast of the most important topics shaping healthcare today. With information from Bamboo Health’s experts, you can access brief, timely round-ups of the most pressing regulations affecting the healthcare ecosystem. Check out the latest from Vatsala Kapur, Bamboo Health’s Vice President of External Affairs.

  • The Substance Abuse and Mental Health Services Administration (SAMHSA) announced modifications to data-sharing rules in 42 Code of Federal Regulations Part 2 (“Part 2”). With these changes, patients can now sign a general consent form that allows for the disclosure of their Part 2 data to anyone with a treatment,  payment or health care operation (TPO) relationship with them. While this is anticipated to have helpful outcomes in pursuit of value-based care and care coordination across physical and behavioral healthcare, it’s more important than ever for organizations to have proper cybersecurity measures before enhanced data-sharing measures occur.
  • The National Institute of Standards and Technology (NIST) released the final version of the HIPAA Security Rule Cybersecurity Resource Guide. As policymakers focus on cybersecurity, organizations must prioritize the security, availability and integrity of customer data. One way healthcare entities and vendors can exemplify a commitment to customer data safety is through the HITRUST Common Security Framework (CSF) certification (like Bamboo!). HITRUST is a robust security framework designed specifically for the healthcare industry and is aligned with multiple standards and regulations, including HIPAA and CMS.
  • SAMHSA and CMS launch additional funding opportunities for behavioral healthcare and care integration through the Innovation in Behavioral Health (IBH) Model, Prevention Technology Transfer Centers Cooperative Agreements, Screening, Brief Intervention, and Referral to Treatment (SBIRT) and more. If you haven’t already talked to your state Medicaid agency, take advantage of an opportunity to collaborate and expand care access.

Contact us to chat about how these regulatory impacts may affect your organization.

Catalyzing Healthcare Collaboration: Payers’ Role in Enhancing Care Continuity with Real-Time Care Intelligence™

Rising substance use and mental health risks are straining an already burdened healthcare system, highlighting the need for industry change to sustain a path forward. Adding to this issue, payers and providers face continued challenges around delayed data processing and equitable healthcare access. To help solve this, payers must deepen their partnership with providers and utilize their vast insight into health populations nationwide.

Let’s explore several opportunities for payers to encourage prompt member engagement based on real-time insights.

Investment in Real-Time Insight Technology

Payers and providers can only take on value-based care (VBC) risk with real-time information about their members’ health journeys. Currently, many payers rely on traditional claims data, which has a 60-90-day information lag, leading to missed care opportunities, higher costs and poor patient outcomes. In fact, according to a 2023 report from the American Hospital Association, 62% of the 1,500-plus patients surveyed said treatment had been delayed because of their insurance provider, resulting in patients’ condition worsening.

Rather than lagged claims data, both payers and providers need tools that can transform data into actionable insights in a centralized workflow, enabling prompt, coordinated care for members. Technology solutions can help connect the dots across organizations and increase alignment between payers and providers. When payers invest in streamlined data insights, providers can more quickly coordinate care while reducing costs.

Focus on Vulnerable Populations to Generate Value-Based Care Outcomes

Serious mental illness and behavioral health issues are becoming more common while access issues remain, leading to heightened patient utilization rates and greater strain on the health system. The need for effective payer intervention and increased focus on these vulnerable populations have never been more pressing.

The PwC Health Research Institute found that payers’ behavioral health costs remain relatively lower than their other medical costs, indicating that payers are underestimating the impact of behavioral health when looking at what their total cost of care will be next year. As patients incur costs related to behavioral healthcare, this creates an unplanned strain for payers who haven’t yet invested in proactive measures (including real-time utilization alerts) to mitigate the system burden.

With better data to show access disparities and utilization rates, insurance plans could proactively recognize the potential impact of these payments and adjust regionally for more equitable engagement with the health system.

This increased engagement with behavioral healthcare would also allow payers to actively contribute to addressing the broader issue of substance use disorder and co-occurring physical and mental health challenges by directly supporting improved health outcomes for communities in need and reducing the overall strain on the health system.

Maintenance of Close Partnerships With Providers

As providers continue to focus on the shift to VBC, along with the rest of the industry, payers will need to prioritize provider partnerships to pursue success. Both organizations reap the benefits, such as increasing revenue and improving patient care, when payers and providers are aligned.

Even when patients are able to access care, many struggle with finding the appropriate care, as there are 7.5 million misdiagnoses a year in U.S. emergency departments, according to KFF. Each incorrect diagnosis increases healthcare costs overall, further burdening the system. Addressing this challenge will require close communication with providers to ensure patients get the care they need and the healthcare system can sustain itself without raising costs.

As payers strengthen their collaborative efforts with providers, their investment in real-time insights and technology solutions is key to addressing gaps in care. By maintaining close partnerships with providers and prioritizing actionable insights, payers can improve patient care while also contributing to the sustainability of the healthcare system by reducing misdiagnoses and ensuring appropriate care delivery.

Contact us to learn how real-time intelligence can help close gaps in care.

How to Apply CCBHC Insights Across the Healthcare System to Integrate Physical and Behavioral Health

Physical and behavioral healthcare integration remains a challenge. With outdated funding models and disparate state-by-state priorities, physical health is still not well integrated with behavioral health because there aren’t many incentives to do so. Behavioral and physical health are equally important as we see suicide risk, overdose risk and serious mental illness on the rise, and care must be properly integrated and incentivized to ensure value-based outcomes. These fast-growing issues exacerbate the strain on both the physical and behavioral health systems, as hospitals and EDs experience downstream effects due to a lack of access to integrated care. But it doesn’t have to stay this way. Certified Community Behavioral Health Clinics (CCBHCs) offer lessons on how we can solve this challenge.

Did You Know? 

  • More than 109,000 people in the U.S. have died from drug-involved overdoses, including illicit drugs and prescription opioids (according to the Centers for Disease Control and Prevention (CDC).   
  • Over half (54.7%) of adults with a mental illness do not receive treatment, totaling over 28 million individuals (according to Mental Health America). 

CCHBCs are health entities that expand access to comprehensive behavioral healthcare. They are required to meet specific standards, including providing crisis services 24/7 and providing care coordination services to navigate behavioral healthcare, physical healthcare, social services and more.  

One key element of CCBHCs’ sustainability is that costs are covered to increase the number of individuals served. This is often funded through the Section 223 CCBHC Medicaid Demonstration Program, in which states can apply to be demonstration sites to begin CCBHC work. Another element of expanding access to integrated healthcare in the long run is CCBHCs engaging in several care coordination activities, from electronic information sharing with care coordination partners (94% currently do this or plan to) to co-locating physical health services on site (88% currently do this or plan to), according to the National Council’s 2022 CCBHC impact report

CCBHCs show how stronger behavioral health financial incentives can be a step in the right direction toward increased value-based care outcomes. With financial support and incentives, CCBHCs achieved key improvements, including a 72% reduction in hospitalizations, 40.7% reduction in homelessness and 60.3% less time in jails (according to the National Council). 

But how can we extend these CCBHC outcomes to our healthcare system?  

Each organization in our healthcare continuum serves a role in improving value-based care outcomes. Let’s explore specific tactics for state governments, payers and providers.  

State Governments’ Role

  • Incentivizing care through payment structure and funding: State governments should continue to allocate funding to better integrate physical and behavioral healthcare. State agencies and the federal government can do more to create financial incentives to adopt technology that facilitates integration.  
  • Clarifying regulations: In addition, state governments can do more to clarify the intersection between the recent federal 42 Part 2 final rules and state laws, to encourage information sharing between providers in physical and behavioral health settings. 
  • Encouraging transparency and sharing of best practices across state lines: As more states become demonstration sites for CCBHCs, states can play a key role in greater interoperability among and between states. According to a 2023 KFF survey of state Medicaid officials, each state takes a disparate approach to delivering behavioral healthcare, using multiple behavioral health delivery system models and varying degrees of financial quality incentives. With greater alignment with CCBHCs and the CCBHC model of reporting, states can better standardize and share insights around behavioral healthcare management and access. 

Payers’ Role

  • Updating payment structures: To spur change, payers and providers can implement integrated reimbursement structures with bundled payments for comprehensive care. However, aligning costs with positive outcomes will also necessitate time. 
  • Investing in data-sharing programs: Like CCBHCs, payers can invest in data-gathering and data-sharing programs to better monitor and align costs with outcomes.   

Providers’ Role

  • Recognizing the shifting needs for mental healthcare for adolescents: Primary care providers (PCPs) are often the first entry point for healthcare, especially for kids and teens. Following recommendations from the American Academy of Pediatrics in 2022 for pediatric health providers to screen everyone for suicide risk once a year, PCPs have identified high rates of suicide risk among adolescents (notably recognizing suicide risk is present for 10-12-year-olds) and are best situated to standardize screening and identify behavioral health risks. Then, providers can connect them to the right care at the right time. When more PCPs are trained to identify and assess behavioral health risks, whole person care can become a reality for patients.  
  • Expanding integrated care trainings: With specific trainings aimed at empowering physical healthcare providers with the knowledge necessary to handle physical and behavioral health crises, providers can better realize their role as the first point of entry for physical and preliminary behavioral healthcare.  
  • Maintain focus on workforce shortages and impact: While providers will need support from payers and state governments to see further integration of behavioral and physical health, they will also need to focus on workforce shortages and gaps in staff training. CCBHCs offer an example of how this can be done, as CCBHC demonstration sites have built-in planning periods to hire and train staff to address both physical and behavioral health needs, as well as to establish new billing processes.

Real-time insights can be a crucial tool for organizations looking to improve value-based care outcomes. With data directly in unified workflows, organizations along the care continuum can seamlessly coordinate and facilitate holistic treatment planning with instant access to critical patient contexts and needs. This approach enables organizations to quickly identify gaps in care or opportunities for improved patient outreach and cost savings.  

Change is needed now from everyone in healthcare to address simultaneous behavioral and physical health crises. We can all gain valuable, transferrable lessons from CCBHCs. 

Contact us to learn how Real-Time Care Intelligence™ can help your organization bridge the gap between behavioral and physical health. 

Overrepresented and Overlooked: Behavioral Health Challenges for Incarcerated Individuals   

1 in 2 adults in the United States has had a family member in jail or prison. Despite this high prevalence, the needs of justice-involved individuals often remain a silent narrative. Incarcerated individuals face twice the risk for behavioral health challenges compared to the overall adult population – facing higher prevalence, intensified impacts and the urgent need for tailored solutions to address the unique behavioral health needs of this often-overlooked population. Because of these sobering statistics, healthcare providers must prioritize care for this population too.  

In the confined spaces of jails and prisons, individuals with behavioral health issues are more common than those who don’t struggle, constituting a staggering 60% of state and federal prisoners with substance use disorder (SUD). Formerly incarcerated individuals with SUD experience a 12-fold increase in the likelihood of death or overdose following their release. The consequences of these challenges are far-reaching, resulting in more extended stays in costly emergency rooms, intensified problems and a significantly higher chance of death post-incarceration. 

To better serve this vulnerable population, external organizations, including Medicaid providers and other health system decision-makers, must first recognize and then actively work to mitigate these challenges. Successfully addressing the needs of the justice-involved population is a multi-pronged effort across our healthcare system, requiring cohesive communication and resource allocation from providers, insurers, hospitals, health systems and third parties with a specific focus on the following: 

  • Improving communication between community corrections programs and healthcare treatment providers: Unfortunately, many incarcerated individuals fall through the cracks due to insufficient communication and follow-up between programs and providers. As community corrections programs work with external treatment providers, it is critical these organizations adopt technology or other efficient programs to streamline information sharing and gain insight into available treatment options, ensuring that individuals seamlessly receive the necessary support. 
  • Incorporating justice involvement into behavioral health treatment planning: Behavioral health providers must incorporate justice involvement into their treatment planning, recognizing the prevalence of trauma both before and during incarceration. Providers can offer more effective and empathetic care by understanding the complexities of the criminal justice system and the heightened risk of retraumatization. 
  • Moving at the speed of trust: Building trust is critical to addressing the unique needs of justice-involved individuals. External organizations must prioritize and take time to exemplify that they are not an extension of the criminal justice system. Patience and thoughtful strategies to establish trust in therapeutic relationships are essential, recognizing the reasonable reluctance of justice-involved individuals to trust authority figures. 
  • Allocating substance use recovery resources to jail settings: One impactful way to address behavioral health challenges within the incarcerated population is to continue supporting access to medication-assisted treatment options for those dealing with substance use disorders. This approach ensures that individuals receive comprehensive care within and outside jail settings. 

Our societal safety net is intricately intertwined with the needs of incarcerated individuals. Beyond the challenges within the jail setting, released individuals may face additional risks that threaten both individual and community safety, including the risk of re-incarceration, emergency department use, hospitalization, homelessness and death by overdose.  

When we address the behavioral health needs of incarcerated or recently incarcerated individuals, we sow the seeds for healthier communities. Those who successfully navigate recovery have the potential to return to their families and communities as positive contributors, reducing the prevalence of SUD and lessening associated risks, such as homelessness and higher crime rates. 

The story of justice-involved individuals with behavioral health challenges deserves attention, understanding and action. By acknowledging these unique struggles, implementing tailored solutions, such as technology, behavioral health planning and recovery resources within jails, we can collectively work toward building a society where the wellbeing of all is prioritized. 

Are you seeking to better offer healthcare solutions that support justice-involved patients? Connect with us today. 

2023 Impact Report: Celebrating Our Collective Accomplishments and Exploring Healthcare Changes on the Horizon

The last year ushered in transformation – both for our organization and the thousands of organizations we serve. From welcoming Jeff Smith as our new chief executive officer to furthering achievements with our customers, we were excited to plant seeds together that will grow in 2024 and beyond.

Our recently released 2023 Impact Report reflects these key insights to empower us toward a more accessible vision of whole person care. Explore how we worked alongside our customers to make a nationwide impact with success stories from our customers in Connecticut, Massachusetts and Nevada, an interactive map of our solutions’ footprint and how we plan to continue this forward momentum.

Five Healthcare Trends for 2024

The healthcare landscape is poised for revolutionary change. Our report explores an in-depth outlook of the 2024 trends shaping this transformation, including:

  1. Intelligence Assistance (IA) to precede Artificial Intelligence (AI)
  2. Connecting patients to the right care at the right time, without driving up costs
  3. Continual evolution and adoption of value-based care (VBC)
  4. Prioritization of social determinants of health (SDOH)
  5. Flexibility with telehealth and brick-and-mortar care

Explore more of these insights in the Annual Impact Report.

Coast-to-Coast Impact

With over 1 billion patient encounters across our Smart Signals™ network, we’re proud to empower smarter healthcare decisions nationwide. Explore our interactive map and learn more about where Bamboo Health’s solutions are providing real-time insights.

Customer Stories, New Solution Offering + More

From care coordination to crisis support, our solutions expanded physical and behavioral healthcare access and deepened support nationwide. Here are just a few of the highlights you can learn more about in the report:

  • How Bamboo Health’s OpenBeds® system generated 2,172 referrals for behavioral health in Nevada
  • How our newest solution, Discharge Summaries, can provide timely patient context during healthcare setting transitions
  • How Massachusetts Community Health Centers reduced ED readmissions by 47%

Insights From Our CEO

“Many of us have witnessed our loved ones facing physical and behavioral health challenges, often complicated by unaddressed comorbidities until it becomes too late. Picture engaging individuals during these pivotal moments, seamlessly connected across the healthcare ecosystem, considering their complete wellbeing, and guiding them toward the right next step. This is Bamboo’s vision — to enhance outcomes by collaborating with our healthcare partners, ensuring that the positive impact we create today resonates even more strongly in the lives of those with both physical and behavioral health needs tomorrow. We aim to translate hundreds of millions of pivotal moments into the right next step of care.”

Read more from Jeff Smith here.

Want to learn more? We’re always available to start a conversation with you at our Contact Us page.