A growing number of states are implementing integrated models to address problems of fragmented care and poor health outcomes for individuals with serious behavioral health needs. Many states have transitioned to contracting with managed care or accountable care organizations that are responsible for managing all physical and behavioral health services for Medicaid enrollees. These organizations commonly involve new partnerships between physical and behavioral health plans and providers that can advance the goals of integrated care. This brief, produced with support from the California Health Care Foundation, identifies key elements that contribute to successful partnerships. It synthesizes insights from organizational leaders representing Medicaid-based partnerships in Arizona, Arkansas, Colorado, and Oregon. Key elements include (1) employing joint-ownership models representing both physical and behavioral health, (2) ensuring stable system transitions for consumers and providers, (3) marrying the expertise of physical and behavioral health partners to create new and enhanced capacities, and (4) allowing adequate time for planning and implementation. These lessons are broadly applicable for health care organizations and policymakers considering how to support successful partnerships to advance physical and behavioral health integration.
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