Providers

PROVIDERS

Parker Dennison has a rich history of extensive work with community based behavioral health providers and hospitals having provided training and technical assistance to over 400 providers in more than 40 states since 1989. As long time senior consultants affiliated with the National Council for Community Behavioral Healthcare (The National Council), a nonprofit trade association representing more than 900 providers in 46 states, Parker Dennison has consulted and been featured trainers to virtually all of their member states. Consulting focus has been nearly exclusively on operational responses to changing funding environments and methodologies, with an emphasis on honoring and preserving the non-profit and community-based values. Authors of more than 20 monographs or manuals on provider technical operations issues, Parker Dennison has frequently been called upon by state authorities to assist providers with turn around, transition, or financial crisis issues.

Provider Merger Facilitation

Developed comprehensive merger work plan for non-profit behavioral health providers, including pre-merger evaluation and negotiation, comprehensive due diligence, and integration phases.  Provided facilitation, expert consultation, mediation, and solution-focused issue resolution between merger candidates.  Provided technical support and expertise for operational integration activities including in clinical, financial, and MIS/decision support.

Provider Managed Care Readiness Assessment, Training, and Technical Assistance

Developed comprehensive behavioral health managed care readiness assessment tool, planning process, and training/technical assistance approach. Assessed over 200 public sector behavioral health providers and authorities including in clinical, billing, utilization management, data, finances, quality, compliance, and related functions. Developed training manuals for core operational requirements in key areas such as utilization management, access, and documentation. Conducted assessments in 24 states.

Financial Analysis, Recommendations, and Cost Restructuring

Prepare various financial models for authorities and providers including break-even analysis, rate/cost impacts, productivity, and utilization projections. Based on the modeling, provide detailed recommendations for operational modifications including specific cost restructuring, productivity enhancements, and service/case mix. Financial modeling has been provided to both provider and authority clients.

State of Georgia Rehab Option/Fee for Service Implementation

Provided consultation regarding operational best practices for successful implementation of the Medicaid Rehabilitation Option and concurrent fee-for-service conversion. Technical assistance included readiness review and development of work plans with focus on the clinical model, authorization process, billing and costs, utilization management, documentation, intake/triage, and related data and tracking analysis and methodologies. Services were provided to 90% of contracted provider network.

District of Columbia Rehab Option/Fee for Service Implementation

Provided consultation to the District of Columbia Department of Mental Health and its providers regarding the implementation of the Medicaid Rehabilitation Option and concurrent conversion to fee-far-service reimbursement. Technical assistance included focus on provider readiness and development for successful operations, authorization process, utilization management, documentation, intake/triage, billing/claims process flow, and staff development activities. Included consultation to both non-profit community providers, as well as a large ($50 million annual budget) District-operated public provider. Services were provided to 100% of the provider network.

Louisiana Department of Health & Hospitals Fee for Service Conversion

Provided assistance in the conversion from case rate reimbursement to fee-for-service methodology. Included developing provider readiness tool, conversion financial impact analysis and tools, training to providers on various topics including fee-for-service operational best practices, new service definitions, new clinical programming, documentation, and compliance. Provided services to 90% of the provider network.

New Mexico Department of HHS/Rio Grande Regional Behavioral Health Network

At the request of the Secretary, Parker Dennison team members assisted at-risk providers in southeastern New Mexico with assessments of current operational practices and recommended actions to improve positioning and performance in an environment that includes increasing proportions of fee-for-service reimbursement. Consultants tailored national best practices for fee-for-service performance for providers with the unique challenges of delivering services in rural and frontier areas in New Mexico, and developed provider work plans inclusive of specific activities, performance targets and time lines. Involved reviews of five agencies with a planned expansion to the remainder of the contracted network.