Compass has a long history of working with behavioral health care data and managed care organizations, particularly those managing publicly-funded care, and with the financial, operational, and clinical issues that distinguish behavioral health care from health care in general.  We assist clients with:

  • Actuarial certification of insurer liabilities and claim liability assessments adapted to behavioral health authorization practices, utilization patterns, and provider billing systems
  • Development of capitated rates for behavioral health managed care
  • Aggregating claim data to form episodes – longer-term views of patient health – that meet the unique challenges of incorporating data from facility- and community-based behavioral health care
  • Risk-adjustment methodologies for populations using behavioral health services
  • Measuring and analyzing behavioral health outcomes
  • The unique requirements of authorization, claim adjudication, and other operational systems supporting behavioral health managed care