In this episode, we take a look back at the progress made in the ABA world and discuss some of the hurdles that remain in the industry with veteran Kelly Birmingham. With over two decades of experience in the ABA industry, Kelly shares her insights and perspectives on the trials and tribulations that come with being a BCBA. Specifically, we discuss the ABA world, its objectives, and the accomplishments it is striving to achieve.
Raven Health, a behavioral health platform, is well on its way to transform the way healthcare providers and payers collaborate. Our vision is to be the data platform that supports provider-payer value-based care partnerships in behavioral health to improve client outcomes.
Value-based care in behavioral health
Value-based care (VBC) is an approach to healthcare delivery that focuses on achieving better patient outcomes while controlling costs. VBC is an emerging trend in behavioral health. It has the potential to improve access to care, increase patient satisfaction, and reduce overall costs of care.
However, there are several challenges that exist with value-based care in behavioral health, which can limit its effectiveness:
Data standardization and interoperability: The lack of standardized data in behavioral health makes it difficult to assess outcomes and measure quality of care. Behavioral health providers often use different assessment tools, making it difficult to compare outcomes across providers. In addition, interoperability challenges exist as many systems used by behavioral health providers do not integrate with each other.
Limited access to care: Many people with behavioral health conditions, particularly those in underserved populations, do not have access to care. This can result in delayed intervention, which can lead to worse patient outcomes and higher costs.
Provider reimbursement: Historically, behavioral health providers have been reimbursed on a fee-for-service basis, which can incentivize providers to provide more services, rather than focusing on outcomes. VBC models can be complex to implement and require significant investment in infrastructure, which can be a challenge for smaller providers.
Lack of provider collaboration: Behavioral health is often provided by a variety of professionals, including social workers, counselors, behavioral analysts (BCBAs), and psychiatrists. These providers may work in different settings and may not collaborate effectively, leading to fragmentation of care.
Stigma: Stigma surrounding behavioral health can lead to reluctance to seek care and can make it difficult to engage patients in their care. This can result in missed opportunities for early intervention and can lead to higher costs in the long run.
Measurement challenges: It can be difficult to measure outcomes in behavioral health. Behavioral health conditions often have subjective symptoms that can be difficult to quantify, making it difficult to measure progress.
Raven Health supports provider-payer VBC partnerships in behavioral health
Raven Health is a fast-growing, behavioral health platform that supports data collection for modern clinicians. Our mobile-first technology simplifies client sessions by providing reliable and intuitive behavior tracking and reporting.
The platform captures behavioral clinical data at the point of care through an interoperability platform. In real-time, the clinical data is standardized and combined with any other clinical or administrative data. Providers and payers using the Raven Health platform take a more holistic, data-driven approach to care.
Raven Health’s CEO, Richard Wagner states, “We have a big vision: to be the platform to support provider-payer VBC partnerships in behavioral health. We’re already well on our way. Today our platform can serve recommendations to clinicians at the point of programming, enable providers to use payer-specific session note templates, power admin dashboards for payers to support population management, and we’re just getting started. “
Clinicians using the Raven Health platform are able to spend more time with clients and less time burdened with administrative duties.
Intuitive, mobile-first technology: Clinicians are up-and-running with our modern data platform in less than 15 minutes. The sleek user interface is easy to navigate and designed for modern clinicians.
Robust template library: Clinicians gain access to standard treatment plans. They can modify these plans based on the needs of each individual client.
Offline mode: Clinicians working in environments with an unstable internet connection feel secure. They know that their activities will sync when the internet connection is restored.
Reporting and graphing: Clinicians are able to measure client outcomes over time to better understand if their care plans are effective. These reports are securely shared with members of the clients care team.
Raven Health’s platform is game-changer. Providers and payers alike will benefit. We are well on our way of achieving our vision of transforming value-based care in behavioral health.
In this episode of A Bird’s Eye View, we sit down with Summer Gainey, President of Bregman Cares, and Alex Bregman, Astros Allstar 3rd Basemen, as they chat about Bregman Cares and discuss their mission of supporting children with special needs. Tim Crilly, BCBA and fellow Raven Health employee, dives deep into how Raven is revolutionizing the Behavioral Health space with their innovative approach to therapy.
Listen to A Bird’s Eye View and subscribe to stay up to date on all things Raven Health.
Welcome to “A Bird’s Eye View,” a podcast hosted by Raven Health’s very own Tim Crilly, a Board Certified Behavior Analyst (BCBA). Join Tim as he shares his unique perspective on the world of applied behavior analysis and its impact on the lives of those it serves.
Through insightful conversations with fellow BCBAs and other experts in the field, Tim delves into topics such as the latest research, best practices, and the challenges and rewards of working with clients across the spectrum. Tim also shares personal stories and experiences from his own practice, providing listeners with a glimpse into the day-to-day life of a BCBA.
Whether you’re a seasoned BCBA or just starting out in the field, “A Bird’s Eye View” offers valuable insights and practical advice that you can apply to your own practice. With a focus on innovation and cutting-edge technology, Tim and his guests explore the latest tools and techniques that can help you deliver the best possible outcomes for your clients.
So, join us for “A Bird’s Eye View” and discover how applied behavior analysis is making a difference in the lives of individuals with autism and other developmental disabilities. Subscribe now to never miss an episode!
Billing shouldn’t be complicated, but with so many options out there it can be. Managing billing needs to be straightforward and streamlined, which is why we created Raven+ and Raven Enterprise. Our comprehensive solution is designed to help you maximize efficiency and increase your profitability without all of the hassle. With a streamlined process, independent auditing services, and accurate reporting, you can rest easy knowing that your billing needs are being met.
Launching Your ABA Startup
As a BCBA working in the ABA community, your day-in and day-out goal is to provide the highest quality and ethically sound care you can. The years spent training and studying have prepared you to do just that.
For some, the desire to have a greater impact on the community they work with leads them to make the brave decision to go out on their own, hang up a shingle, and open their own ABA company.
For most, it is not an easy decision to arrive at. It can be a scary road to take, as there are many things to consider beyond just the delivery of high-quality clinical care.
Avoiding Audits, Claim Denials, and Other ABA Hurdles
The transition into being a new business owner after working as a BCBA, Clinical Director, or even in a senior clinical leadership role, can feel overwhelming.
There are so many areas of running a successful business that you may not have been exposed to in your previous role. Just to get your business started, there are myriad legal steps to complete, specific types of insurance to acquire, and financial relationships to develop.
Once you have taken the initial steps to establish your business, you must contract and credential with the funding sources you plan to work with. This can be a complicated and timely process that, if not done correctly, can lead to delays in starting treatment with clients, delays in claims payment, and even claims denials.
It is imperative that this process is done correctly, to ensure timely access for clients and ease of payment for you.
Maximizing the Right Tools: Raven’s Managed Billing Solution
When it comes to the claims process, you have a few options: you can attempt to do it yourself, hire someone to come in and do it for you, or you can outsource this process to experts that will work on your behalf to ensure you get the payments you are entitled to, as well as keep you safe from audits. With Raven’s managed billing solution, our network of specialists can take care of the details and eliminate the hassle, so you can focus on what really matters.
Raven+ and Raven Enterprise offer solutions to fit your needs. Let the Raven team handle to the complicated process of contracting, credentialing, authorization submission and management, benefits verification, claims scrubbing, and claim submission.
Raven allows you to focus on what you do best as a clinical team, and we handle the rest.