Healthy Contracts Articles and Pages
Petition
15 Point Proposal
Read or Listen to the Healthy Contracts 15 Point Proposal. https://www.mentorresearch.org/healthy-and-honest-contracting
Mentor Research Institute First Training in Alternative and Value-Based Contracts
CollaborativeCare Alternative Payment Model for Behavioral Health. https://www.mentorresearch.org/collobrativecare-1
Healthy Contracts Background and Position Papers
A Case For The Value and Importance Of Independent Internal Auditors In Contracting For Fee-For-Service, Alternative, and Value-Based Mental And Behavioral Health Services.
https://www.mentorresearch.org/value-and-importance-of-independent-internal-auditorsAlignment of ERISA with Healthy Contracts Legislation: Supported by Federal Regulations
https://www.mentorresearch.org/aligning-erisa-with-healthy-contracts-legislation-is-supported-by-federal-regulationsAlternative and Value-Based Payment Contracts Are Offered “Take it or Leave Contract” To Employers of Contracted Providers: The Challenges
https://www.mentorresearch.org/alternative-value-based-payment-contracts-of-adhesionBehavioral and Mental Health Competency and The Need For Support.
https://www.mentorresearch.org/behavioral-and-mental-health-need-for-supportBehavioral Health Quality Framework: A Roadmap For Using Measurement To Promote Joint Accountability and Whole-Person Care https://www.ncqa.org/wp-content/uploads/2021/07/20210701Behavioral_Health_Quality_Framework_NCQA_White_Paper.pdf
Benefits and Challenges of Membership in an Independent Practice Association (IPA).
https://www.mentorresearch.org/benefits-and-challenges-of-ipa-membershipCan Providers Legally Boycott a Healthplan - Ethical Reasons to Legally Boycott a Healthplan
https://www.mentorresearch.org/ethical-reasons-to-boycott-a-healthplanCharting by Exception (CBE) is Useful and How Counselors and Psychotherapists Think.
https://www.mentorresearch.org/charting-by-exception-in-psychotherapyCharting Requirements are Not Patient-Centered
https://www.mentorresearch.org/charting-requirements-are-not-patient-centeredContract “Gaming”: Reasons Why Value-Based Contracts Can Fail
https://www.mentorresearch.org/contract-gaming-reasons-why-value-based-contracts-will-failControls in Fee-For-Service, Alternative and Value-Based Payment Contracting
https://www.mentorresearch.org/what-is-a-controlControls, Tests of Design (TOD) and Tests of Effectiveness (TOE) in Measurement and Value-Based Contracting For Mental and Behavioral Health Services
https://www.mentorresearch.org/tests-of-design-and-tests-of-effectivenessCore Psychotherapy Values and the Erosion by Healthplan Practices.
https://www.mentorresearch.org/core-psychotherapy-values-and-the-erosion-by-healthplan-practicesDefinitions for Healthy Contracts.
https://www.mentorresearch.org/healthy-contracts-bill-definitionsDescription of Healthcare Fraud in Measurement and Value-Based Care Contracting.
https://www.mentorresearch.org/healthcare-fraud-measurement-an-valuebased-payment-contractsDescription of Healthcare Fraud by using Provider Practices as a Proxy.
https://www.mentorresearch.org/healthcare-fraud-in-measurement-and-value-based-contractingEnforceable and Unenforceable Mental and Behavioral Health Contract Requirements
https://www.mentorresearch.org/enforceable-contract-requirementsERISA and The History Of Conflict With Psychotherapy Practice
https://www.mentorresearch.org/erisa-and-the-history-of-conflict-with-psychotherapy-practiceFinancial Advantages And Disadvantages of IPAs And Group Practices. https://www.mentorresearch.org/financial-advantages-and-disadvantages-of-ipas-and-group-practices
Five Types of Psychotherapy Audits.
https://www.mentorresearch.org/psychotherapy-practice-auditsGood Faith and Fair Dealings in Healthcare Contracting
https://www.mentorresearch.org/good-faith-and-fair-dealingHealthplan Contracts and Psychotherapy: Beware Shell Games.
https://www.imhpa.org/valuebased-contracting-for-psychotherapy-healthplan-gamesHealthy Contracts: Ensuring Ethical and Collaborative Agreements in Mental Health Services.
https://www.mentorresearch.org/healthy-contracts-ensuring-ethical-and-collaborative-agreements-in-mental-health-servicesHealthy Contracts Legislation as Essential!
https://www.mentorresearch.org/healthy-contracts-legislation-is-essentialHealthy Versus Toxic Contracts
https://www.mentorresearch.org/healthy-toxic-contracts-conversations-and-auditsHigh Case-Mix Severity Must be Considered in Value-Based Contracting.
https://www.mentorresearch.org/high-case-mix-severity-must-be-considered-in-valuebased-contractingHealthplan and Medicare Advantage Risk Scores and “Clawbacks”
https://www.mentorresearch.org/medicare-advantage-risk-adjustments-and-clawbacksHow Can an Independent Certified Internal Auditor Support Mental and Behavioral Health Contracting.
https://mentorresearch.org/how-can-an-independent-certified-internal-auditor-supportHow and Why Should the Independence of Certified Internal Auditors be Ensured?
https://www.mentorresearch.org/maintaining-independence-of-internal-auditorsHow Psychotherapy Practice Iis Being Transformed to High-Profit Managed Care.
https://www.imhpa.org/private-practice-is-transformed-to-highprofit-managed-careImportance of Transparent Shared Values, Objectives, Controls, Key Indicators of Success, Tests of Design, and Tests of Effectiveness in Value-Based Payment Contracts for Mental and Behavioral Health Services.
https://www.mentorresearch.org/importance-of-shared-values-objectives-indicators-of-successIndependent Certified Internal Auditor – Example Job Description
https://www.mentorresearch.org/independent-certified-internal-auditorIndependent Certified Internal Auditor: The Bridge Between Stakeholder and the Healthplan https://www.mentorresearch.org/auditor-shall-be-a-point-of-contact-for-stakeholders
Informed Consent Motivates Patients to Game Outcome Measures.
https://www.mentorresearch.org/informed-consent-motivates-gaming-outcome-measuresIMHPA Collaboration with Moda Health for VBC, VBP, VBR, MBC, OIC.
https://www.mentorresearch.org/mri-amha-moda-collaboration-for-mbcIs The MODA Behavioral Health Incentive Program (BHIP) Bold and Reckless?
https://www.mentorresearch.org/moda-behavioral-contract-bold-or-recklessIs There Value in AI Audits of Psychotherapy Charting, Assessments and Treatments Plans?
https://www.mentorresearch.org/value-in-ai-auditing-in-psychotherapy-chartingMeasurement-Based Care: Enhancing and Undermining Mental Health Treatment Values.
https://www.mentorresearch.org/what-is-measurement-based-careManaged Behavioral Health: Measurement.
https://www.imhpa.org/managed-behavioral-health-measurementMedically Necessary and Reasonable Psychotherapy Services.
https://www.mentorresearch.org/medically-necessary-reasonableMODA Behavioral Health Incentive Program (BHIP): Bold And Reckless?
https://www.mentorresearch.org/moda-behavioral-contract-bold-or-recklessOrganization Advantages and Disadvantages of Being a Member of an IPA vs. a Group Practice.
https://www.mentorresearch.org/advantages-and-disadvantages-of-being-a-ipa-or-group-practiceOutcome Informed Care And Measurement-Based Care Adoption - Challenges in Oregon.
https://www.imhpa.org/measurement-based-care-adoption-challengesPatient Reported Outcomes & Performance Measures (PROM-PM).
https://www.mentorresearch.org/patient-reported-outcomes-progress-measuresPreventing The Problems Created by “Take it or leave it” Contracts In Mental and Behavioral Health Services?
https://www.mentorresearch.org/preventing-contract-of-adhesion-that-harm-public-healthHealthplan Fraud Perpetrated on Mental Health Providers: What is It and How to Prevent it.
https://www.mentorresearch.org/preventing-healthplan-fraudProblems and Arguments Against The Healthy Contracts Bill
https://www.mentorresearch.org/arguments-against-the-healthy-contracts-billProvider Practice and Value-Based Payment Contracting for Psychotherapy Services: Requirements and Challenges.
https://www.mentorresearch.org/value-based-payments-psychotherapyPsychotherapy Treatment Plans & Progress Notes can Have Chilling Effects on Patients, Outcomes, Satisfaction and Dropout. https://www.imhpa.org/charting-chilling-effect-on-patients-outcomes
Qui Tam Action for Misrepresentation in Healthplan Contracts and Services.
https://www.mentorresearch.org/qui-tam-action-for-misrepresentation-in-healthplan-contracts-and-servicesReasonable Fears Providers Have About Entering into Measurement and Value-Based Contracts
https://www.mentorresearch.org/logical-fears-providers-about-value-based-contractsRisks, Reasons, and What to Do When Healthplan Measurement and Value-Based Payment Contracts are a Contract of Adhesion.
https://www.mentorresearch.org/risks-reasons-and-what-to-do-with-contracts-of-adhesionSigns of a Bad Faith Value-Based Payment Contracts from a Healthplan.
https://www.mentorresearch.org/signs-of-a-bad-faith-valuebased-payment-contractSuccessful and Failed Case Studies of Measurement-Based Care and Value-Based Payment Contracts: Recommended Requirements
https://www.mentorresearch.org/successful-and-failed-valuebased-contractsThe Cost and Dangers of Giving Healthplans Your Patients’ Assessment Data.
https://www.imhpa.org/do-not-give-healthplan-your-patients-data-talking-pointsThe Independence of Healthplan Auditors Must Comport with Standards Set the U.S. Office of Inspector General U.S. Office of Inspector General (OIG).
https://www.mentorresearch.org/why-use-oig-standardsThe Pacific Source 26 Session Review Is a Utilization Management Audit using Hidden Requirements.
https://www.mentorresearch.org/pacific-source-26-appointments-auditThe Problem When Contracts Of Adhesion are Offered To Mental And Behavioral Health Providers
https://www.mentorresearch.org/problem-when-contracts-of-adhesion-are-offeredThe Toxic Impact of Venture Capital on Psychotherapy
https://www.amha-or.com/the-toxic-impact-of-venture-capital-on-psychotherapyTransition from Fee-for-Service Step-wise to Alternative Payment Contracts and then Value-Based Payment Contracts: The Good and the Bad.
https://www.mentorresearch.org/transforming-feeforservice-psychotherapy-to-valuebased-payment-contractUnderstanding and Overcoming ERISA Preemption Doctrine using Healthy Contracts.
https://www.mentorresearch.org/understanding-and-overcoming-erisa-using-healthy-contractsValue-Based Payment Fraud: When Heathplan Misrepresentation Turns into Conspiracy.
https://www.mentorresearch.org/preventing-healthplan-fraudWhat Can Happens if Voidable Provisions in Value-Based Contracts to Go Unchallenged?
https://www.mentorresearch.org/contracts-with-voidable-provisionsWhat is a Control Library?
https://www.mentorresearch.org/control-libraryWhat is Protected Health Information in Psychotherapy Practice?
https://www.mentorresearch.org/what-is-protected-health-informationWhat is the Value of Charting in Psychotherapy Practice?
https://www.mentorresearch.org/value-psychotherapy-chartingWhat Problems are Created When Healthplans Offer Providers “Take it or Leave it” contracts (contracts of adhesion)?
https://www.mentorresearch.org/take-or-leave-contract-in-healthcareWhat Can Certified Internal Auditors Do That Will Prevent Healthplans From “Gaming” Providers, Purchasers, and The Public?
https://www.mentorresearch.org/gaming-a-valuebased-contractWhat Can Happens If Unfair, Bad Faith, Ambiguous, Ill-Defined, Unethical, or Voidable Provisions In Fee-For-Service and Value-Based Contracts Go Unchallenged?
https://www.mentorresearch.org/contracts-with-voidable-provisionsWhy do Providers Avoid Conflicts With Healthplans?
https://www.mentorresearch.org/why-do-provider-avoid-conflicts-with-healthplansWhy is Hiring an Independent Certified Internal Auditor a Good Idea?
https://www.mentorresearch.org/why-hiring-an-independent-certified-internal-auditor-is-a-good-ideaWho are The Stakeholders When Contracting for Mental and Behavioral Health Services?
https://www.mentorresearch.org/who-are-stakeholders-in-contractingWill Healthplans Support the “Healthy Contracts” Legislation”?
https://www.mentorresearch.org/contract-gaming-reasons-why-value-based-contracts-will-failWill the Moda Measurement and Value-Based Payment Contract for Mental and Behavioral Services Fail? A Discussion Paper.
https://www.mentorresearch.org/why-the-moda-value-based-contract-will-almost-certainly-fail