Remarkable Health, an innovative technology partner for behavioral health and DD providers, presents its survey data on the IT readiness of behavioral health providers for value-based reimbursement models. The survey results reveal some red flags in preparedness, including a disconnect between the confidence in readiness and the actual IT progress toward readiness. Agencies still using traditional electronic health record technology are seeing the need to upgrade to capabilities that embrace the evolution of how clinicians work with clients and the way behavioral health services are documented and billed.

1. 1Confidential Remarkable Health
Value-Based Payment IT Readiness
in Behavioral Health
Trends and Statistics – 2019

2. 2Confidential Remarkable Health
• Survey conducted Feb. 2019
• 320 agencies responded
• C-Suite or Clinical role surveyed
• 80% of respondents have 50+ employees
How ready are behavioral health
agencies for the changes Value-based
payments will bring?

3. 3Confidential Remarkable Health
How many
different
tools do
you use?
11%
30%
12%
47%
RESPONSES
1-2 tools 3-5 tools 6-10 tools 10+ tools
Your technology stack should be integrated
–
Not just to reduce costs, but also for data
accuracy and analysis

4. 4Confidential Remarkable Health
Do you plan to change your IT Budget?
25.31%
30.94%
20.94%
7.50%
5.94%
9.38%
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
35.00%
Yes, we plan to increase our
IT budget by 1-5%
Yes, we plan to increase our
IT budget by 6-10%
Yes, we plan to increase our
IT budget by 11-20%
Yes, we plan to increase our
IT budget by 20% or more
No, we do not plan to
increase our IT budget
I don't know
Responses
Responses
A full technology stack is required to manage your practice, client outcomes and billing in today’s digital age. Make
sure your technology partner is investing in driving innovation in outcomes management and agency efficiency.

5. 5Confidential Remarkable Health
In an average week, how much time do you
spend on documentation per week?
Responses
1-5 hours 6-10 hours 11-15 hours 16-20 21-25 25+
Documentation costs and errors
must be reduced for better
outcomes, billing and practice
management.

6. 6Confidential Remarkable Health
What are the ways you currently
engage clients in between sessions?
63.75%
41.88%
61.25%
40.00%
10.00%
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
Repeated,
meaningful contact
via phone or email
Direct, secure text
messaging
Appointment
reminders via
phone, email or text
Provide clients to
track self-report
outcomes
We don't currently
engage with clients
between sessions
Responses
Behavioral health technology
needs to go beyond phone
calls and reminders to keep
providers and their clients
engaged throughout
treatment.

7. 7Confidential Remarkable Health
Does your agency plan to
increase its home and
community-based services in
the next year?
19%
47%
21%
7%
6%
RESPONSES
No, we don't expect an increase in these services in the next year
Yes, we expect to see a 1-20% increase in the next year
Yes, we expect to see a 21-49% increase in the next year
Yes, we expect to see a 50-75% increase in the next year
Yes, we expect to see a 75%+ increase in the next year
More providers outside of the office means
your clinical, scheduling and documentation
technology needs to be mobile – and work
offline for accuracy and effiency.

8. 8Confidential Remarkable Health
How do you currently
capture client
outcomes today
(select all that apply)?
Data entry in an
EHR/EMR
Verbally, then
document in
Word/Excel and store
on desktop/server
Verbally, then
document on paper
and store the file in
storage room
Online via Outcome
Tracking tool: please
specify
None, we don't track
outcome data at my
agency
Documentation captured
outside of your EHR
create bottlenecks for
care and billing
efficiencies.

9. 9Confidential Remarkable Health
How do you show client progress to desired outcomes
(select all that apply)?
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
Assessment tools (DLA-20,
PHQ-9, etc.)
Reduction of client costs Client completion of
goals/objectives
Recidivism rates None, we don't track
outcomes
Responses

10. 10Confidential Remarkable Health
What are your top financial challenges moving to a
value-based payment model?
18%
16%
22%
19%
15%
10%
Difficult to track actual unit costs
Difficult to track utilization
patterns
Lack internal
knowledge/expertise on
predictive analytics
Unsure how much risk we can
accept
Unsure how it will impact cash
flow, profitability, and our need
for financial reserves
Unsure what staff and
infrastructure costs are required
to be successful

11. 11Confidential Remarkable Health
What metrics are difficult for you track today (select
all that apply)?
18%
16%
15%
23%
16%
12%
Responses
Utilization patterns
Morbidity risk
EHR data
Claims data
Patient satisfaction data
Hospital admissions, readmissions and
Emergency Room utilization