Managing the behavioral health benefit is more important and more challenging than ever. Mental health needs are expanding across all lines of business including Medicaid, Commercial, Duals, Exchange, and Medicare. New behavioral health services are emerging daily, and access to care by new providers is bringing more care to members.
Managing this benefit to ensure patients get high-quality care and the health plan gets value from the provider network is critical. Having a comprehensive behavioral health strategy requires coordination across many health plan departments including network, payment integrity, practice transformation, UM, clinical, quality, case management, and finance.
Wayspring acts as a behavioral health performance partner to help enhance the results of these business functions.
All these services are supported by an activation team of experts who come together to tailor your strategy and help you execute the right approaches. As behavioral health is dynamic, we are continuously helping you evaluate your needs and bring new strategies.
Our deep behavioral health clinical knowledge is what separates us from narrow point solutions. Having managed over $3B in behavioral health spend representing more than 400,000 lives under performance and risk based structures, Wayspring has gained a deep understanding of both patients and providers. That knowledge is embedded in our technology, analytics, clinical rules and interpretations, and services.
Wayspring’s proprietary Wayfinder Health Suite™ powers our Care Model and Network Solutions, equipping our team with the tools to:
There is no cost and no risk for your plan to engage with Wayspring. We hold ourselves accountable for creating value. That’s why we take full medical and behavioral cost capitation risk (upside and downside) on our attributed BH population. Every one of our contracts is based on performance.
If a risk arrangement is not appropriate, we have flexibility with our economic models.
on a significant MLR driver
most of our team members have personal experience with behavioral health; we understand the challenges
with behavioral health populations
for those who need it most
into behavioral health utilization, payment integrity, network performance, and outcomes
for behavioral health treatment
Our site has changed! You can now find member resources and easily contact our care team.