2014

April 2, 2014

Beacon Health Strategies joins the Stamp Out Stigma campaign to reach 1 million people in 2014

Campaign aims to reduce the stigma of mental illness and substance use disorders.

Boston, MA, April 2, 2014 – Beacon Health Strategies (Beacon) today announced its participation in the national Stamp Out Stigma (SOS) initiative which has a goal of reaching more than 1 million people in 2014 to change perceptions about mental illness and substance use disorders and reduce the associated stigma.

Beacon joins the Association for Behavioral Health and Wellness (ABHW) in the initiative. In addition, many of ABHW’s other member companies are participating in the campaign: Aetna Behavioral Health, Cenpatico, Cigna, New Directions Behavioral Health and ValueOptions. ABHW member companies will leverage their existing communications networks to reach key audiences, including their employees, clients and customers, utilizing SOS-related resources and information including SOS pledge cards, posters and wrist-bands, as well as personal stories.

The Stamp Out Stigma campaign will use a website and active social media platforms, including Facebook, Twitter, You Tube, and Pinterest to:

  • Recognize the high prevalence of mental illness and substance use disorders
  • Re-educate ourselves, friends and family on the truths of mental illness and addiction
  • Reduce the stigma of mental illness and addiction and, thus, transform lives

The campaign encourages people to take the Stamp Out Stigma pledge at stampoutstigma.com and share their personal stories.

“One in four adults will face a mental illness in a given year. More than 22 million people have a substance use disorder,” said Beacon’s CEO Timothy Murphy. “Even if you are not living with a mental illness or substance use disorder, you can make a lasting impact by speaking up for those who are. That is what the Stamp Out Stigma campaign is all about, and Beacon is proud to be part of this important effort.”

“Mental health and substance use disorder diagnoses are more prevalent than heart disease, diabetes, arthritis, migraines, osteoporosis and asthma, yet misconception and misinformation have left many people with mental illness and substance use disorders afraid to talk about their experiences or to seek help,” said Pamela Greenberg, President and CEO of ABHW. “This campaign is a clear demonstration of the commitment of the behavioral health industry to make a lasting contribution to the growing movement to reduce the stigma of mental illness and addiction.”

About Beacon Health Strategies

Founded in 1996, Beacon Health Strategies is a leader in behavioral health care management services for Medicaid, Medicare and commercial populations with a presence in 21 states and the United Kingdom. Beacon has more than 75 health plan partners in 21 states, covering more than 10 million members. Accredited by both URAC and NCQA, Beacon’s success comes from its member-centric and locally administered managed care services, medical and behavioral healthcare integration, clinical programming, and customized solutions for each health plan partner.

About The Association for Behavioral Health and Wellness

The Association for Behavioral Health and Wellness (ABHW) is the national voice for specialty behavioral health and wellness companies. ABHW member companies provide specialty services to treat mental health, substance use and other behaviors that impact health. ABHW supports effective federal, state and accrediting organization policies that ensure specialty behavioral health organizations (BHOs) can continue to increase quality, manage costs and promote wellness for the nearly 125 million people served by our members. For more information, please visit www.abhw.org.

2013

September 23, 2013

Beacon Health Strategies Selected By West Virginia Family Health Plan To Provide Behavioral Health Benefit

Selection endorses Beacon's inovation in providing integrated behavioral health care in localized setting

Boston, MA, September 23, 2013 – West Virginia Family Health plan (WVFH), a newly formed health plan in West Virginia, has chosen Beacon Health Strategies (Beacon) to provide managed behavioral health services for its members. The decision reinforces Beacon’s leading expertise in integrating behavioral health with physical health and social services. WVFH chose Beacon from several behavioral healthcare companies through a competitive bidding process.

WVFH and Beacon’s collaboration will offer members the most effective clinical care, focusing on the integration of services, resulting in prevention and wellness efforts. The collaboration aims to improve the system of behavioral healthcare in West Virginia by promoting innovative, community-based, person-centric care.

Beacon will provide WVFH with administrative services and clinical expertise that drives a nationally recognized care management program geared to the particular needs of West Virginia residents with mental health and substance use issues.

These care management services seek to avoid unnecessary inpatient admissions and use of emergency rooms through increased member engagement, access to community-based services and better communication among treaters. The result is a more effective, and thus responsible, use of public monies.

Beacon’s innovative Integrated Partner Model will co-locate Beacon staff with WVFH medical management staff to leverage the expertise of local clinicians and program managers. This co-location supports improved communication and collaboration among Beacon, WVFH and providers to improve health outcomes for members.

“Beacon is pleased to work with WVFH to assist in managing the care for people with both physical and behavioral issues. Now more than ever, it is very critical to integrate care,” said Beacon’s CEO Timothy Murphy. “In our 17 years of experience, Beacon has maintained its commitment to whole-person treatment, while meeting the challenges facing our health plan partners, especially with populations like the Medicaid-eligible beneficiaries served by WVFH.”

About Beacon Health Strategies Founded in 1996, Beacon Health Strategies is a leader in behavioral health care management services for Medicaid, Medicare and commercial populations, serving more than 9 million enrollees with a presence in 22 states and the United Kingdom. Accredited by both URAC and NCQA, Beacon’s success comes from its member-centric and locally administered managed care services, active integrations of members’ medical and behavioral health care needs, innovative clinical programming, and customized solutions for every health plan partner.

About West Virginia Family Health Plan West Virginia Family Health plan (WVFH) is a start-up, Provider Sponsored Network (PSN) in the state of West Virginia. WVFH’s mission is to provide comprehensive and integrated care to members across all 55 counties within West Virginia. WVFH was formed in 2012 in collaboration with Highmark Blue Cross Blue Shield of West Virginia, 22 Federally Qualified Health Centers (FQHCs), two Clinics and the West Virginia Primary Care Association, in conjunction with Gateway Health Alliance, to manage the benefits of Medicaid eligible individuals within West Virginia as a Provider Sponsored Network (PSN). This collaboration aims to create a PSN that will bring a more cost-effective approach to Medicaid managed care while also improving the quality and health outcomes for West Virginia’s Medicaid members.

May 20, 2013

Beacon Health Strategies Partners With National Alliance ON Mental Illness Of New York City To Create New Community-Based Mental Health Pilot

Landmark partnership between public and private entities seeks to utilize community supports to augment individualized care plans to support recovery and resiliency.

Boston, MA, May 20, 2013 – Beacon Health Strategies (Beacon) is undertaking a groundbreaking public/private partnership with the National Alliance on Mental Illness of New York City (NAMI-NYC) on a pilot project that will promote and engage NAMI services for Beacon plan members in the New York City metro area.

To promote that engagement, the pilot program will provide education on mental illness in general, and specifically, the importance of accessing community-based services. Measurement of the program will be two-pronged: Beacon and its partners will measure the impact that the NAMI services have on participating members’ knowledge of dealing with mental illness and the subsequent use and success of community-based services to support independent living.

The target population is plan members who have recently or previously been diagnosed with a serious mental illness and could benefit from NAMI services to advance their recovery objectives. NAMI’s peer-led programs, whose participation is voluntary, will augment the behavioral health services already available under member health plan benefits. Beginning in June, NAMI-NYC’s programs will connect participants to community-based courses on mental health topics as follows:

  1. NAMI Basics, an education program for parents and other caregivers of children and adolescents living with mental illness, is taught by trained leaders who themselves are the parents/caregivers of children with mental illness. Its goals include giving basic information for effective caregiving, helping the parent/caregiver cope with the impact of mental illness, and providing tools to assist in making the best decisions for the child's care.
  2. NAMI Peer-to-Peer is a unique program for people with serious mental illness that focuses on wellness and recovery. It is taught by a team of individuals who are living with mental illness.

“This is a singular opportunity for Beacon to partner with NAMI in a local market,” said Beacon’s CEO Timothy Murphy. “It is exciting to discover how a concerted effort at community-based outreach can improve the quality of life for people who live with mental illness and their families.”

Wendy Brennan, NAMI-NYC Metro’s executive director, added, “Beacon cares about individuals who are impacted by mental illness and recognizes the need to expand community-based services. They also understand the importance of incorporating the consumer voice in treatment.”

NAMI will administer surveys before and after the intervention to measure the courses’ impact on knowledge about mental illness, medications, stress management techniques, and wellness management skills. Additionally, Beacon will work with NYU’s McSilver Institute for Poverty Policy and Research to assist with data analysis and review of members’ subsequent service utilization. The two groups will assess any correlation between the use of NAMI services and the improved use of outpatient and preventive services to support community living.

About Beacon Health Strategies Founded in 1996, Beacon Health Strategies is a leader in behavioral health care management services for Medicaid, Medicare and commercial populations, serving more than 8 million enrollees with a presence in 21 states and the United Kingdom. Accredited by both URAC and NCQA, Beacon’s success is derived from its member-centric and locally administered managed care services, active integrations of members’ medical and behavioral health care needs, innovative clinical programming, and customized solutions for every health plan partner.

About the National Alliance on Mental Illness of New York City NAMI-NYC is a grassroots organization that provides support, education and advocacy for individuals and families of all ethnic and socio-economic backgrounds who live with mental illness. As the largest affiliate of the National Alliance on Mental Illness, NAMI-NYC works collaboratively with stakeholders in the community to educate the public, advocate for legislation, reduce stigma, and improve the mental health system. NAMI-NYC provides support, education, and advocacy throughout the New York metropolitan area on behalf of families affected by mental illness and their loved ones – all free of charge to the public.

March 29, 2013

Maine Community Health Options Selects Beacon Health Strategies to Provide Behavioral Health Benefits For Its Members

Selection reinforces Beacon's innovation in providing integrated behavioral health care in localized setting

Boston, MA, March 29, 2013 - Maine Community Health Options (MCHO), a newly formed health plan authorized by the Affordable Care Act, has chosen Beacon Health Strategies (Beacon) to provide managed behavioral health services. Beacon will provide MCHO with clinical expertise, value-added administrative services and a nationally recognized care management program, all geared to the particular needs of MCHO members.

MCHO and Beacon will collaborate with local Maine providers to offer the most effective clinical care for members, focusing on prevention, wellness and integrated, community-based services. That collaboration will promote innovative, person-centric care through financial alignment with members’ health outcomes, helping to reduce unnecessary or ineffective care that does not lead to members’ improved health. Beacon’s collaboration with MCHO will make healthcare both better and more affordable for Maine residents.

Beacon’s Exchange and healthcare reform experience offers invaluable expertise regarding MCHO’s target membership and their healthcare needs. For that reason, the insight Beacon brings to these individuals is fundamental to MCHO’s success in delivering high-quality, local behavioral health care through shared values and vision.

In addition to its general expertise, Beacon has had extensive involvement in Maine, having worked directly with the Maine Department of Health and Human Services to establish “Managed Care Readiness” throughout the state. Consequently, Beacon is singularly positioned to add local expertise to Maine’s healthcare landscape.

February 15, 2013

Beacon Health Strategies To Provide Behavioral Health Benefits For the Group Insurance Commission In Massachusetts

Selection endorses Beacon's innovation in providing integrated care

Boston, MA, February 15, 2013 - The Massachusetts Group Insurance Commission (GIC) voted today to enter into a three-year contract with two one-year renewal options with Beacon Health Strategies LLC (Beacon) to provide behavioral health services and EAP benefits for more than 255,000 state and municipal employees, retirees and their dependents. The selection by the GIC broadens Beacon’s long-standing history of innovation in managing behavioral health benefits for Massachusetts residents.

The GIC’s procurement sought to select a vendor that could help change Massachusetts’s behavioral health delivery system by improving efficiency and the integration of behavioral health/medical services. Since its inception in 1996, Beacon has been providing integrated behavioral health management services to all types of plans, including commercial, Medicare, Transitional Assistance for Needy Families (TANF); aged, blind, and disabled (children and adults); foster care; and seriously and persistently mentally ill (SPMI).

As part of its contract with the GIC, Beacon will provide core managed behavioral health services, including utilization management, network development and management, care coordination, and Employee Assistance Program (EAP) benefits for this population. Services will start on July 1, 2013.

“Beacon is very excited to be selected to manage behavioral health services for these 255,000 GIC members,” said Beacon’s CEO Timothy Murphy. “The GIC is known in Massachusetts for its innovation and bold thinking, and we enjoy working with partners that want to move the behavioral health delivery system forward. A lot of work has been done, particularly here in Massachusetts, but there is always more to do.”

2012

December 14, 2012

Humana/Caresource Selects Beacon Health Strategies To Provide Behavioral Health Benefits For Kentucky Medicaid Recipients

Selection endorses Beacon's expertise with managing high-needs populations

Woburn, MA, Dec. 14, 2012 -- Beacon Health Strategies LLC (Beacon) continues to expand its services for individuals with complex co-morbid conditions after Humana/CareSource selected Beacon to provide behavioral health services for Medicaid recipients in Kentucky’s “Region 3,” a 16-county region including Louisville. Beacon will be providing services for the approximately 40,000 Humana/CareSource members who receive Medicaid, some of the region’s most medically complex individuals.

The Kentucky Department of Medicaid Services chose Humana/CareSource as one of four healthcare companies to provide health benefits for the approximate 170,000 Medicaid recipients in Region 3. Beacon will be managing the behavioral health benefits for Humana/CareSource members as part of that contract.

Specifically, Beacon will provide utilization management, drug management, network development and management, care coordination, wellness assistance and analytic services for this population, which includes the seriously and persistently mentally ill and “Impact Plus,” an intensive wraparound program of residential and community-based services that serves Kentucky’s most vulnerable youth. Coverage for these services will start on Jan. 1, 2013.

To promote integrated care for these high-needs individuals, Beacon will deploy its Integrated Partner Model, which co-locates Beacon staff at Humana CareSource’s offices in Louisville. This co-location of personnel supports improved communication and collaboration between Beacon and Humana/CareSource staff as a means to provide the most integrated, personcentric care possible.

“Beacon has developed a reputation in providing person-centric care to improve member health while also reducing costs,” said Beacon’s CEO Timothy Murphy. “With clinical integration at the core of our care-delivery approach, Beacon understands that an individual’s social, medical, and behavioral needs must all be met in order to treat the whole person. We look forward to working with Humana/CareSource to provide flexible, recoveryfocused care for some of Kentucky’s most vulnerable individuals.”

About Beacon Health Strategies
Founded in 1996, Beacon Health Strategies is a leader in behavioral health care management services for Medicaid, Medicare and commercial populations with a presence in 15 states. Accredited by both URAC and NCQA, Beacon’s success derives from its member-centric and locally administered managed care services, active integration of members’ medical and behavioral health care needs, innovative clinical programming, and customized solutions for every health plan partner.

About Humana/CareSource Humana, the second largest Medicare healthcare company in the country and headquartered in Louisville, KY, has partnered with CareSource, one of the nation’s largest Medicaid non-profit managed care companies based in Dayton, OH, to provide care for Medicaid and “dual eligible” populations in eight states. Kentucky is the first state in which they have won an award together.

December 3, 2012

Beacon UK Announces Growth with Two Senior Appointments

London, 3 December 2012 – Beacon UK continues its growth with the appointment of two senior leadership roles to help position the company as an innovator in integrated care solutions in the United Kingdom. Integrated care is a new approach to care delivery that considers individuals’ mental, physical and social needs as a means to true recovery.

Senior healthcare manager Jenny Palmer joins Beacon UK as its first substantive director, based at the Kings Fund in central London. With an NHS management background from Cambridge University Hospitals NHS Foundation Trust and, most recently from Imperial College Healthcare NHS Trust, Ms. Palmer has strategic, operational and commercial experience. Her leadership position with Beacon UK includes key roles developing outcomes-based contracts for mental health care, positioning Beacon UK as a prime contractor in this area.

Complementing Beacon’s clinical expertise, David Cox, MD, joins Beacon UK as head of strategy. Following London-based medical training and subsequent international health care experience at McKinsey and Co., Dr. Cox most recently acted as a general manager at Imperial College Healthcare NHS Trust. He brings strong experience in leadership, informatics, people and project management. In addition to building Beacon UK’s growing consultancy portfolio with CCGs and NHS Mental Health Trusts, Dr. Cox will also be exploring the market opportunity for Beacon’s Autism Services Group (ASG), a specialty autism services company, in the UK and Europe.

Beacon UK, launched as a new entrant to the UK health system in August 2011, is building capacity in response to the government’s moves to promote an integrated system of care. Health minister Norman Lamb has announced plans for large-scale, locally led “experiments” in integrated care. Additionally, Bob Ricketts, DH’s head of provider transition, has indicated that the NHS standard contract could permit CCGs to appoint prime contractors from 2014 - 15.

Beacon UK is currently working with CCGs and NHS Mental Health Trusts across the UK. The UK subsidiary of a fast-growing U.S. managed behavioral health organization, Beacon UK is led by chief executive officer and practicing NHS psychiatrist Dr. Emma Stanton. “Ms. Palmer and Dr. Cox will help establish Beacon UK as a data-driven innovator in UK mental health care commissioning,” commented Dr. Stanton. “The UK is poised for making true change in how we deliver care, in an integrated way that considers the whole person. Beacon UK will be ready as these changes happen”

November 26, 2012

Beacon's Expertise In Integrated Care Recognized Through Deals Demonstration Participation

Beacon to be behavioral health subcontractor to two Massachusetts health plans

Woburn, MA, Nov. 26, 2012 - Beacon Health Strategies' long-standing successful experience in treating individuals with complex behavioral and medical illnesses has been recognized through its role in successful proposals submitted by its health plan partners, Boston Medical Center HealthNet Plan (BMCHP) and Neighborhood Health Plan (NHP) of Massachusetts, to participate in the Duals Demonstration, a joint initiative of the Centers for Medicare and Medicaid Services (CMS) and Massachusetts' Executive Office of Health and Human Services (EOHHS).

With Beacon as behavioral health subcontractor, BMCHP and NHP are advancing to a joint state and federal readiness review process to prepare to serve as Integrated Care Organizations (ICOs). ICOs will provide integrated care for those individuals age 21-64 who are "dually eligible" for both Medicare and Medicaid benefits. The three-year Demonstration to integrate Care for Dual Eligible Individuals aims to integrate medical and behavioral health care and long-term services and supports to improve health outcomes at reduced cost.

The target population for the Demonstration includes adults with a range of physical disabilities, intellectual and developmental disabilities, behavioral health needs, and chronic conditions. ICOs will be responsible for providing care management services to better coordinate and integrate healthcare services received by their enrollees. These care management services will emphasize avoiding unnecessary inpatient admissions and use of emergency rooms through increased member engagement, community-based services and better communication among a member's providers. The project's payment structure aligns incentives between Medicare and Medicaid through a blended global financial arrangement that promotes integrated, person-centered care and avoids past practices of poorly aligned financial incentives influencing care planning. Coverage is expected to start April 1, 2013.

"Beacon and its partners, Boston Medical Center HealthNet Plan and Neighborhood Health Plan, have a long and successful history of helping individuals and their families dealing with both serious physical and behavioral illnesses navigate a disjointed healthcare system to achieve better care planning and health outcomes," said Beacon's CEO Timothy Murphy.

"Indeed, Beacon's 16 years of experience in Massachusetts and across the nation has taught us that the only kind of care is holistic care; if we don't treat the whole person - including their social, physical and behavioral needs - we will likely fail in our mutual goals of improving the person's health status and making sure that every dollar expended in health benefits the person and society. Beacon is looking forward to helping our partners, as well as CMS and EOHHS, show that this approach to care works."

Beacon's participation in this Duals Demonstration project adds to its recent duals demonstration awards in California, where Beacon is expected to serve nearly 50,000 duals members beginning in the summer of 2013. "As the need to control costs and improve health outcomes drives Medicare and Medicaid to find solutions to the better delievery of care, we are excited to play our role to bring better services and value in treating dually eligible individuals," added Murphy.

About Beacon Health Strategies
Founded in 1996, Beacon Health Strategies is a leader in behavioral health care management services for Medicaid, Medicare and commercial populations with a presence in 15 states. Accredited by both URAC and NCQA, Beacon’s success derives from its member-centric and locally administered managed care services, active integration of members’ medical and behavioral health care needs, innovative clinical programming, and customized solutions for every health plan partner.

About Boston Medical Center HealthNet Plan
BMCHP is a not-for-profit managed care organization serving more than 260,000 members across Massachusetts through three product lines: MassHealth, Commonwealth Care, and commercial (Employer Choice / Commonwealth Choice). It is the largest MassHealth managed care organization in Massachusetts. BMCHP was recognized for its ongoing commitment to quality when it was named one of the top ten Medicaid health plans in the country according to the National Committee for Quality Assurance (NCQA) Medicaid Health Insurance Plan Ranking 2012-2013. In addition, it has maintained Excellent Accreditation from NCQA for its Massachusetts Medicaid plan since its initial acreditation in 2009.

About Neighborhood Health Plan
NHP, a Massachusetts-based not-for-profit corporation, has provided comprehansive health services since 1986. An NCQA-accredited managed care organization, NHP serves MassHealth, Commonwealth Care, Commonwealth Choice, and fully insured commercial members across the Commonwealth. By working closely with the MassHealth program and commercial purchasers, and by partnering with community health centers and other providers, NHP grew rapidly from a few thousand members in the late 1980s to approximately 250,000 members today throughout Massachusetts.

November 26, 2012

Beacon's Expertise In Integrated Care Recognized Through Its Selection To Provide Services In Duals Demonstration Project

Woburn, MA, Nov. 26, 2012 - Beacon Health Strategies' success in treating individuals with complex co-morbid conditions has expanded to Illinois after the Illinois Department of Healthcare and Family Services (DHFS) selected Beacon's partner, Humana Inc., to participate in the Illinois Demonstration project. The Illinois Medicare-Medicaid Alignment Initiative collaboration between the Centers for Medicare and Medicaid Services and Illinois' DHFS - seeks to integrate care for individuals "dually eligible" for both Medicare and Medicaid services as a means to improve health outcomes and quality of life while containing costs.

The Humana-Beacon partnership was selected a sone of six plans in Illinois to participate in the project, serving approximately 118,000 dually eligible individuals in the Greater Chicago region. Beacon and Humana will provide care management services to better integrate medical and behavioral health services for these dually eligible individuals who have more co-occuring illnesses - including chronic physical diseases and significant behavioral health conditions - than the general population. These services seek to avoid unnecessary inpatient admissions and use of emergency rooms through increased member engagement, community-based services and better communication among treaters.

The project's payment structure aligns incentives between Medicare and Medicaid through a blended global financial arrangement that promotes integrated, person-centered care and avoids past practices of poorly aligned financial incentives influencing care planning. Coverage is expected to start in the second quarter of 2013.

"Both Beacon and Humana have a strong reputation for managing the care for people with both serious physical and behavioral illnesses as we halp them navigate a disjointed healthcare system to achieve better care planning and health outcomes," said Beacon's CEO Timothy Murphy. "Indeed, Beacon's 16 years of experience has taught us that the only kind of care is holistic care; if we don't treat the whole person - including the social, physical and behavioral needs - we will likely fail in our mutual goals if improving the person's health status and making sure that every dollar expended in health benefits the person and society. Beacon is looking forward to helping Humana, as well as CMS and DHFS, show that this approach to care works."

The decision in Illinois comes on the heels of a decision by CMS and the Executive Office of Health and Human Services in Massachusetts to select two of Beacon's health plan partners to participate in the duals demonstration project in that state. Also, due to multiple dual demonstration awards in California as well as our existing relationships with fully integrated Senior Care Options plans and PACE programs, Beacon will serve more than 100,000 fully integrated, fully capitated dually eligible individuals beginning mid-2013.

About Beacon Health Strategies
Founded in 1996, Beacon Health Strategies is a leader in behavioral health care management services for Medicaid, Medicare and commercial populations with a presence in 15 states. Accredited by both URAC and NCQA, Beacon’s success derives from its member-centric and locally administered managed care services, active integration of members’ medical and behavioral health care needs, innovative clinical programming, and customized solutions for every health plan partner.

About Humana Humana, Inc., headquartered in Louisville, Kentucky, is a leading healthcare company offering a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in healthcare that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

March 27, 2012

Program that integrates medical and behavioral care receives public service award

Woburn, MA ­– Beacon Health Strategies (Beacon) and its health plan partner, Hudson Health Plan (Hudson), and the New York State Department of Health (DOH), are being honored for their groundbreaking work in providing person-centered care for individuals with multiple mental and physical health conditions.

The Westchester Cares Action Program (WCAP), a collaborative effort among Beacon, Hudson and the DOH, is the recipient of the 2012 Westchester County Department of Health Distinguished Public Service Award. The award, presented annually in recognition of Public Health Week in April, recognizes community-based organizations that show an exemplary commitment to public health.

WCAP, a unique program designed to facilitate access to primary medical care, behavioral health treatment and support services, is improving health outcomes for Medicaid recipients in Westchester County, NY. The program is an interdisciplinary team of five care coordinators and a peer support specialist that locates potential enrollees for the program; assesses their individual needs; and then coordinates relevant care and services.

Based on a model of integrated medical and behavioral care, WCAP promotes preventive treatment in the most appropriate setting through patient-centered medical homes. Peer support specialists round out that care by driving enrollees to appointments, assisting with housing applications, and teaching life coping skills.

Data shows that the program is working. For 83 individuals enrolled since the program’s inception in 2009, data reflecting use of services reveal there was a 10 percent reduction in inpatient services within six months of enrollment. After one year of enrollment, 28 continuously enrolled individuals showed a statistically significant reduction in severity of their conditions.

"WCAP is a perfect example of what Beacon and its health plan partners are trying to achieve," said Tim Murphy, Beacon chief executive officer. "Provide care that meets an individual’s needs in a holistic manner – medical, behavioral and social – and you will see results. A key aspect of this approach is using data to guide us on what interventions work the best and with whom. This award is confirming of all of the work we do, and I look forward to continued success with our partners."

About Beacon Health Strategies

Founded in 1996, Beacon Health Strategies is the recognized leader in behavioral health care management services for Medicaid, Medicare and commercial populations, with a focus on complex, co-morbid population health management. Beacon currently serves more than 7 million members in 17 states. Accredited by both URAC and NCQA, Beacon’s success derives from its person-centered, data-driven and community-based model of care in partnership with its health plan partners and the behavioral health community at large.

About Hudson Health Plan

Hudson Health Plan is a New York Medicaid not-for-profit managed care organization founded in 1985 by four community health centers. Hudson, whose mission is to promote and provide excellent health services for all people, offers three state-subsidized managed care programs: Medicaid; Family Health Plus; and Child Health Plus. The plan serves more than 110,000 members in New York’s Hudson Valley.

2011

Sept. 21, 2011

The New York Care Coordination Program in Partnership with Beacon Health Strategies Awarded Behavioral Health Organization Contract for Western New York

Woburn, MA ­– Beacon Health Strategies’ long-standing success in serving New York public sector programs has been enhanced through a recent award by the New York Office of Mental Health and the Office of Alcohol and Substance Abuse Services to serve as one of five competitively procured Regional Behavioral Health Organizations. In partnership with the New York Care Coordination Program (NYCCP), Beacon will provide utilization management, analytic and care coordination services for individuals with complex healthcare needs who are at risk for repeated hospitalizations in New York’s Western Region.    

A partnership between Beacon and NYCCP sets the stage for a BHO that delivers meaningful care through addressing the unique needs of each individual. For the past three years, Beacon and the NYCCP have worked together to implement person-centered, recovery-focused care coordination programs in preparation for the local administration of managed systems of care. This program, which served as the template for the creation of the BHO, identifies fee-for-service Medicaid members who use multiple behavioral health and medical services in an effort to reduce costs through improved health outcomes.

“Beacon’s expertise rests in providing person-centric care to improve member health while also reducing costs,” said Beacon’s CEO Timothy Murphy. “With clinical integration at the core of our care-delivery approach, Beacon recognizes that both mental and physical health issues cannot be addressed in a vacuum. Indeed, one cannot be achieved without addressing the other. We look forward to expanding our work with NYCCP providing flexible, recovery-focused care for western New York communities.”

The success of Beacon’s behavioral health programs is the outcome of innovative clinical programs, extensive data analysis, and excellent clinical integration. Specifically in New York, Beacon’s proven track record is the result of 14 years’ experience providing that expertise for seven health plans serving Medicaid and other public sector programs, covering almost 700,000 members. Additionally, Beacon works with more than 8,000 providers in New York to ensure that these members have access to coordinated medical and behavioral health treatment that is both effective and readily available.

About Beacon Health Strategies

Founded in 1996, Beacon Health Strategies is a leader in behavioral health care management services for Medicaid, Medicare and commercial populations with a presence in 15 states. Accredited by both URAC and NCQA, Beacon’s success derives from its member-centric and locally-administered managed care services, active integration of members’ medical and behavioral health care needs, innovative clinical programming, and customized solutions for every health plan partner.

About the New York Care Coordination Program

NYCCP is a Rochester-based, not-for-profit undertaking by local governments, behavioral health providers and consumers to improve access, quality and cost-effectiveness of publicly funded services to children with serious emotional disturbance and adults with serious mental illness or chemical dependency. NYCCP works with peers, families, providers and local mental health departments to design organizational governance, systems of care, education and training, and performance monitoring.

Sept. 21, 2011

The New York Care Coordination Program in Partnership with Beacon Health Strategies Awarded Behavioral Health Organization Contract for Western New York

Woburn, MA ­– Beacon Health Strategies’ long-standing success in serving New York public sector programs has been enhanced through a recent award by the New York Office of Mental Health and the Office of Alcohol and Substance Abuse Services to serve as one of five competitively procured Regional Behavioral Health Organizations. In partnership with the New York Care Coordination Program (NYCCP), Beacon will provide utilization management, analytic and care coordination services for individuals with complex healthcare needs who are at risk for repeated hospitalizations in New York’s Western Region.    

A partnership between Beacon and NYCCP sets the stage for a BHO that delivers meaningful care through addressing the unique needs of each individual. For the past three years, Beacon and the NYCCP have worked together to implement person-centered, recovery-focused care coordination programs in preparation for the local administration of managed systems of care. This program, which served as the template for the creation of the BHO, identifies fee-for-service Medicaid members who use multiple behavioral health and medical services in an effort to reduce costs through improved health outcomes.

“Beacon’s expertise rests in providing person-centric care to improve member health while also reducing costs,” said Beacon’s CEO Timothy Murphy. “With clinical integration at the core of our care-delivery approach, Beacon recognizes that both mental and physical health issues cannot be addressed in a vacuum. Indeed, one cannot be achieved without addressing the other. We look forward to expanding our work with NYCCP providing flexible, recovery-focused care for western New York communities.”

The success of Beacon’s behavioral health programs is the outcome of innovative clinical programs, extensive data analysis, and excellent clinical integration. Specifically in New York, Beacon’s proven track record is the result of 14 years’ experience providing that expertise for seven health plans serving Medicaid and other public sector programs, covering almost 700,000 members. Additionally, Beacon works with more than 8,000 providers in New York to ensure that these members have access to coordinated medical and behavioral health treatment that is both effective and readily available.

About Beacon Health Strategies

Founded in 1996, Beacon Health Strategies is a leader in behavioral health care management services for Medicaid, Medicare and commercial populations with a presence in 15 states. Accredited by both URAC and NCQA, Beacon’s success derives from its member-centric and locally-administered managed care services, active integration of members’ medical and behavioral health care needs, innovative clinical programming, and customized solutions for every health plan partner.

About the New York Care Coordination Program

NYCCP is a Rochester-based, not-for-profit undertaking by local governments, behavioral health providers and consumers to improve access, quality and cost-effectiveness of publicly funded services to children with serious emotional disturbance and adults with serious mental illness or chemical dependency. NYCCP works with peers, families, providers and local mental health departments to design organizational governance, systems of care, education and training, and performance monitoring.

August 3, 2011

Beacon Health Strategies is the Behavioral Health Partner for Five of the Top Ten Medicaid Plans

Woburn, MA – Beacon Health Strategies, LLC congratulates five of its health plan partners for being named in the National Committee for Quality Assurance (NCQA) 2011 -2012 list of top 10 Medicaid plans.

Approximately 100 plans qualified to be ranked out of the more than 200 Medicaid health plans evaluated by the NCQA. To be eligible for the rankings, health plans must authorize public release of its performance information and submit enough data for a statistically valid analysis, according to the NCQA web site. The NCQA based its findings on clinical performance, member satisfaction, and level of NCQA accreditation.

Beacon’s partner plans’ rankings are as follows:

Fallon Community Health Plan – 1st
Neighborhood Health Plan – 3rd
Boston Medical Center HealthNet Plan – 4th
Neighborhood Health Plan of Rhode Island – 7th
Blue Cross and Blue Shield of Rhode Island – 8th

Beacon, a managed behavioral health organization, has been a partner with the number one-ranked Fallon Community Health Plan since 1999. A pioneer in integrating behavioral health care with medical care, Beacon provides Fallon and its other health plan partners with customized behavioral health care management and related services, such as quality management and provider contracting.

“I am delighted to hear of the success of so many of our clients in this year’s rankings of Medicaid plans,” said Beacon President and CEO Timothy Murphy. “All of these organizations are community-based plans committed to ensuring top quality care, and access to that care, for their thousands of members. We at Beacon share this commitment and are honored to contribute to each plan’s success in achieving these rankings.”

Beacon’s Chief Medical Officer Dan Rome, M.D. added: “As a fully NCQA-accredited managed behavioral health organization, we at Beacon understand the significant expertise and effort that each of these clients devotes to ensuring that their members receive the best care possible. It is not surprising that these five health plans made it to the top 10 list.”

About Beacon Health Strategies

Founded in 1996, Beacon Health Strategies is recognized as a leader in behavioral health care management services for Medicaid, Medicare and commercial populations. Beacon currently serves more than 4 million members in 10 states. Accredited by both URAC and NCQA, Beacon’s success derives from its member-centric and locally-administered managed care services, active integration of members’ medical and behavioral health care needs, innovative clinical programming, and customized solutions for every health plan partner.

About the National Committee for Quality Assurance (NCQA)

Celebrating its 20th anniversary in 2010, the NCQA is a private, nonprofit organization that accredits and certifies a wide range of health care organizations and recognizes clinicians and practices in key areas of performance. Its Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care. The NCQA accredits health plans in every state, the District of Columbia, and Puerto Rico, covering 70.5% of all Americans enrolled in health plans.

March 3, 2011

Florida Acquisition Strengthens Beacon’s Network and Market Share

Woburn, MA – Beacon Health Strategies, LLC boosted its presence in the southeastern United States with its acquisition of PsychCare, a Miami-based behavioral health company that specializes in behavioral, wellness, medical and pharmacy programs for both commercial and public sector populations. The acquisition became effective February 8, 2011.

Expanding Beacon’s Medicare and Medicaid market share, the acquisition better positions the Massachusetts-based company to accommodate the increased number of covered lives and types of disability available to health plans through healthcare reform. PsychCare, whose flagship clients include Humana, Coventry Health Care, and LifeSynch, covers 1.5 million lives, bringing Beacon’s total number of covered lives to 6.5 million.

Beacon’s innovative clinical programs and excellence in care management, data analysis, information technology, and clinical integration attracted the Hernandez family, the founders of PsychCare, to join forces with Beacon.

“Beacon has a proven track record of providing person-centric care that improves member health while also reducing costs,” said PsychCare CEO Dr. Rodolfo Hernandez. “The company’s emphasis on clinical integration is in line with PsychCare’s philosophy that mental health is just as important as physical health and that one can’t be achieved without addressing the other. We look forward to working with Beacon and accessing their additional resources to help meet our clients’ needs.”

Beacon’s CEO Timothy Murphy said Beacon shares PsychCare’s philosophy that successful behavioral health care means treating the member holistically. “It is almost impossible to be successful in this business without taking integrated care seriously,” said Murphy. “Beacon is excited to partner with PsychCare as it is a company that stands by its vision of treating the whole person, which is optimal for member health as well as a sound business practice.”

About Beacon Health Strategies

Founded in 1996, Beacon Health Strategies is recognized as a leader in behavioral health care management services for Medicaid, Medicare and commercial populations. Beacon currently serves more than 4 million members in 10 states. Accredited by both URAC and NCQA, Beacon’s success derives from its member-centric and locally-administered managed care services, active integration of members’ medical and behavioral health care needs, innovative clinical programming, and customized solutions for every health plan partner.

February 8, 2011

Beacon Speakers Provide Managed Care Expertise at 2010 Conferences

Woburn, MA – Experts from Beacon Health Strategies, LLC shared their industry-wide knowledge regarding the challenges facing managed care at several 2010 conferences held around the country.

In his presentations, Brian Wheelan, MBA, executive vice president, Strategy and Development, addressed issues ranging from managing pharmacy benefits to health insurance reform. Specifically, he presented “Understanding PPACA (Patient Protection and Affordable Act) to Reduce New Costs of the Previously Uninsurable” at both the Behavioral Healthcare and Chronic Care Management Conference held in Chicago, October 26-28 and at the 2010 Medicaid Managed Care Congress held in Washington, DC, September 27 and 28.

Wheelan also presented “The Special Needs of Members Covered Under Health Insurance Reform” at the 3rd Annual Medicaid Managed Care Summit held February 24-26 in Washington, DC. Additionally, he spoke at the Annual Executive Forum on Pharmacy Benefit Management Strategies held July 12-13 in Philadelphia.

John Colburn, Ph.D., applied his longstanding expertise in behavioral health care management in his presentation, “Preventing Hospital Readmissions for Members with Behavioral Health Disorders.” Colburn, Beacon’s director of Clinical Development, stated that providing timely and effective transitional care, such as home-based clinical service, is imperative to reducing hospital readmissions for individuals with psychiatric problems. He spoke on this topic at the Medicaid Health Plans of America Annual Meeting held November 3 and 4 in Washington, DC and at the Reducing Hospital Readmissions Conference in Philadelphia, April 26-28.

Beacon’s President and CEO Timothy Murphy said it is the company’s responsibility to share what the organization has learned in its 15 years of business. “As the nation faces an upheaval in one of its top industries – healthcare – it is incumbent upon Beacon and companies like it, to pass on their expertise in helping people to become healthier while also reducing costs,” said Murphy. “Here, at Beacon, we have the results to show that certain programs and interventions work, and it is more important now than ever for us to share that knowledge.”

About Beacon Health Strategies

Founded in 1996, Beacon Health Strategies is recognized as a leader in behavioral health care management services for Medicaid, Medicare and commercial populations. Beacon currently serves more than 4 million members in 10 states. Accredited by both URAC and NCQA, Beacon’s success derives from its member-centric and locally-administered managed care services, active integration of members’ medical and behavioral health care needs, innovative clinical programming, and customized solutions for every health plan partner.

Jan. 5, 2011

Humana Chooses Beacon for its Innovative Drug Management Program

Woburn, MA – Beacon Health Strategies, LLC (Beacon) strengthened its nationwide presence when it entered into an agreement with the national health insurer Humana to provide its unique Psychotropic Drug Intervention Program (PDIP) services. Starting Nov. 1, 2010, 1.5 million Humana members can benefit from Beacon’s innovative drug management program, which aims to improve members’ health through education and support.   

PDIP identifies opportunities to change both member and provider behavior to improve medication-related problems and the coordination of care, and ultimately, member health. The program promotes evidence-based prescribing practices and members’ adherence to prescribed medications through targeted communication methods, such as automated telephone calls to members, and letters to both prescribers and members.

PDIP – available as a stand-alone or integrated service with other Beacon services – has the flexibility to meet individual customers’ needs. In the case of Humana, which does not contract with Beacon to provide any other services, PDIP met Humana’s requirement for a program to identify quality-of-care concerns and a subsequent medical review process with a turnaround time of two hours or less. To do so, Beacon built a web-based prescriber response system enabling prescribers to respond online to Beacon’s requested interventions. Consequently, for the first time, real-time PDIP data is available to a customer.

“The enhancements we developed for Humana have significantly raised the bar for PDIP,” said Stephen Feldman, director of PDIP. “We will continue our work in the core areas of medication management through our adherence, dosing and poly-pharmacy initiatives while always looking for ways to improve or add new technologies. To complement this work, PDIP is developing more focused and comprehensive solutions to meet customers’ needs. It is Beacon’s level of sophistication and experience with data integration that make the program a top choice.”

Some of the PDIP initiatives under development are a risk stratification and reduction program for children using psychiatric medications; a Suboxone utilization management program; and a proactive HEDIS Antidepressant Medication Management (AMM) score improvement program.

By using targeted interventions, PDIP improves member health outcomes and safety. Data show that PDIP interventions positively affect both medication usage and prescribing patterns, which in turn help to reduce instances of potentially problematic medication-related problems. Changes in behavior at both the member and prescriber level ultimately lead to a reduction in behavioral healthcare costs.

About Beacon Health Strategies

Founded in 1996, Beacon Health Strategies is recognized as a leader in behavioral health care management services for Medicaid, Medicare and commercial populations. Beacon currently serves more than 4 million members in 10 states. Accredited by both URAC and NCQA, Beacon’s success derives from its member-centric and locally-administered managed care services, active integration of members’ medical and behavioral health care needs, innovative clinical programming, and customized solutions for every health plan partner.

2010

December 9, 2010

Beacon Health Strategies Acquires California MBHO

Woburn, MA – Beacon Health Strategies, LLC strengthened its presence in California with the acquisition of Comprehensive Behavioral Health Management (CBHM), a Los Angeles County-based managed behavioral health organization that serves nearly 1.5 million members from both commercial and Medicaid populations. The acquisition became effective December 13, 2010.

The acquisition includes CBHM’s flagship clients Kaiser Permanente, United Healthcare, Aetna, HealthNet, and Anthem Blue Cross of California. The move strengthens Beacon’s public and private sector healthcare market share in California, raising the Massachusetts-based behavioral health company’s total number of covered lives to 6.5 million.

Beacon’s demonstrated success in improving health outcomes while reducing costs motivated CBHM CEO Randy Davis, PhD, to partner with Beacon.

“Beacon is a company that promotes improved member health and reduced costs, and they deliver on both,” said Dr. Davis. “Their programs offer unique solutions, and with an industry rocked by the introduction of healthcare reform and expansive Medicaid changes that promise to increase the number and complexity of covered lives, innovation that delivers results is critical.”

The success of Beacon’s behavioral health programs is the outcome of innovative clinical programs, extensive data analysis, and excellent clinical integration. By integrating both behavioral and medical care, Beacon’s programs promote a holistic approach that delivers member-centric, cost-effective care.

CBHM shares the philosophy that behavioral health and medical health need to be treated together to achieve optimum health. “CBHM, like Beacon, is on the cutting edge of expanding its programs to provide care that views individuals holistically,” said Beacon’s CEO Timothy Murphy. “Therefore, with their programs that complement Beacon’s, CBHM was a natural fit. We look forward to working with them.”

About Beacon Health Strategies

Founded in 1996, Beacon Health Strategies is a leader in behavioral health care management services for Medicaid, Medicare and commercial populations with a presence in 10 states. Accredited by both URAC and NCQA, Beacon’s success derives from its member-centric and locally-administered managed care services, active integration of members’ medical and behavioral health care needs, innovative clinical programming, and customized solutions for every health plan partner.

About Comprehensive Behavioral Health Management

CBHM, based in Cerritos, CA, serves almost 1.5 million people in California and has a provider panel of 3,000. Started in 1991, it is one of the largest regional behavioral health delivery systems that provide behavioral health, wellness, disability and occupation health programs.

June 10, 2010

Tisa Hughes Joins Beacon Health Strategies as General Counsel

Tisa Hughes brought her longstanding expertise in healthcare law to Beacon Health Strategies, LLC when she joined the company in May 2010 as general counsel. In her role at Beacon, Ms. Hughes will oversee and coordinate all legal affairs involving a wide range of strategic, tactical, regulatory and operational issues.

Prior to joining Beacon, Ms. Hughes was vice president, deputy general counsel at Blue Cross Blue Shield of Massachusetts where she led a team of lawyers providing legal and risk management advice in the areas of product development, corporate governance, healthcare services, sales and underwriting, and strategic initiatives. Ms. Hughes started her 20-year legal career in the health law group at Ropes & Gray in Boston working with academic medical centers, community hospitals, physician groups and health maintenance organizations. She is a graduate of Dartmouth College and the University of Chicago Law School.

“Beacon was an exciting opportunity for me because it is a company that is forging real change in the area of managed behavioral health care,” said Ms. Hughes. “It’s great to be part of an organization whose innovative programs and data-driven approach bring a new momentum to the delivery of behavioral health.”

Ms. Hughes’ extensive knowledge in healthcare law along with her experience in counseling both an insurance company and healthcare organizations made her an excellent fit for Beacon. “Ms. Hughes understands the issues from both sides of the fence –  from the point of view of the insurance company managing healthcare services and the actual organizations providing those services,” said Beacon President and CEO Timothy Murphy. “Both perspectives are important to the successful development and implementation of behavioral health care programs.”

About Beacon Health Strategies

Founded in 1996, Beacon Health Strategies is recognized as a leader in behavioral health care management services for Medicaid, Medicare and commercial populations. Beacon currently serves more than 4 million members in 10 states. Accredited by both URAC and NCQA, Beacon’s success derives from its member-centric and locally-administered managed care services, active integration of members’ medical and behavioral health care needs, innovative clinical programming, and customized solutions for every health plan partner.