Coffee Break Chat: Strategies for Funding Tobacco Cessation and Cancer Control

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1 Coffee Break Chat: Strategies for Funding Tobacco Cessation and Cancer Control Thursday, June 29 th, pm EDT Dawn Randolph, MPA

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2 Housekeeping How to join the webinar? GoToWebinar INSTRUCTIONS: Join the webinar: Call in using your telephone: +1 (415) Access Code: Audio PIN: Shown after joining the meeting To ask a question: Enter your unique Audio PIN so we can mute/unmute your line when necessary OR type it into the Q&A pod. Technical difficulties? Call Citrix Tech Support at

health care, behavioral health and consumer focused policies for the past 30 years.

3 Dawn A. Randolph, MPA DIR Consulting, LLC Assisting non-profits and associations advocate for health care, behavioral health and consumer focused policies for the past 30 years. She is a local and national speaker on a variety of public policy, management, budget and leadership topics. Her focus is on how we finance and sustain funding for our work. 2

4 Agenda #1 Goal - This is a Conversation Overview of NBHN current work and resources Dialogue with peers to share funding strategies Surveys Questions Input around innovations in funding Preview upcoming webinar series Help BH The Change! Get ready to answer surveys! 3

5 WHY: National Behavioral Health Network More than 50% of patients with terminal cancer have at least one psychiatric disorder. Individuals with a mental illness have a higher rate of fatality due to cancer. People with mental illnesses and addictions smoke half of all cigarettes produced, yet are only half as likely as other smokers to quit. More data and information can be found on the website 4

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7 WHAT: National Behavioral Health Network Empowers and prepares a wide range of stakeholders including public health, behavioral health, primary care, and education to prevent and reduce tobacco use and cancer among adults with mental illnesses and substance use disorders. 6

8 WHO: National Behavioral Health Network 1394 Organizations and growing consisting of mental health centers, state governments, public health agencies, hospitals, addictions treatment centers, and federally qualified health centers. 7

9 HOW do we fund this work? 8

10 Who do you serve? Choose all of the following populations served by your organization: >People living with mental illnesses >People living with substance use disorders >People living with co-occurring disorders >Integrated care with primary health Choose all the age ranges of those you serve: >0-17 >18-25 >26-61 >62+ 9

11 Where do you serve? Choose all the places you serve consumers: >Urban >Suburban >Exurban >Rural 10

12 What is the size of your organization? How many people do you serve? >Less than 100 > > > >More than 1,000 11

13 How is your organization funded? Choose all sources of funding: >Medicaid >Private Insurance >ACA Exchanges >Self-pay >Donations/Foundations 12

14 HOW do we fund this work? 13

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18 Five Strategies for Sustainability 1. Networks, Collaborations and Collectives a) Economies of Scale b) Care Coordination & Chronic Disease Management c) Sharing Resources Swaps and share care 2. Developing profit subsidiaries to fund innovative nonprofit services EAP or other services 3. Costing Services and negotiating rates 4. Working with payors to remove barriers and create new services; bill appropriately; finance peer supports 5. Teaming up with other providers 17

19 Networks: Economies of Scale Council of Community Clinics (CCC) in southern California administers the funds for the California Mental Health Services Act. CCC was founded in 1977 as a collaborative model around integrated care for mental health, SUD and physical health. This includes prevention around chronic health issues, co-morbidity and smoking cessation. 1. Seeding resources for providers to grow; 2. Developing and coordinating Learning Communities; and 3. Coordinating and managing an Annual Integration Summit. 18

20 Networks: Sharing Resources West of Seattle across Puget Sound in Kitsap County is Kitsap Mental Health Services (KMHS). They formed an agreement with a hospital affiliated local physician provider group and with their FQHCs to share facilities and staff: Patients referred to self-management classes on campus. MH Center sets up appointment, educates person on what to expect and manages them through the appointments. Physicians, provider groups and FQHC bill for medical services while KMHS pays for the facility. Agreement supports the recovery model, supporting patients to flow through both systems. Bi-directional model of care. 19

21 Profit subsidiary to fund non-profit work EAP - employee assistance programs supporting large and medium size companies Pharmacy open to the community Employment placement services Retail outlets Rental Income Social enterprises 20

22 Costing Services Process mapping reviewing how a consumer flows through your system to identify all costs, streamline services and redirect funds to tobacco cessation and screenings. Rates Negotiate rates in a managed care or other pay for performance environment when all costs are known for patient outcomes. Capturing all income process mapping and full cost accounting will ensure all co-pays are collected and all costs billed to payors. 21

23 Let s Share who is using anyone of these strategies for fund innovations in your organization? NOTE: You could be doing tobacco cessation or cancer control, but it may be for health care integration or other new programs. 22

24 Five Strategies for Sustainability 1. Networks, Collaborations and Collectives a) Economies of Scale b) Care Coordination & Chronic Disease Management c) Sharing Resources Swaps and share care 2. Developing profit subsidiaries to fund innovative nonprofit services EAP or other services 3. Costing Services and negotiating rates 4. Working with payors to remove barriers and create new services; bill appropriately; finance peer supports 5. Teaming up with other providers 23

25 Yes or No, it is that simple Do you have a smoke free campus/facility/office? >Yes >No Do you have a tobacco cessation program for consumers? >Yes >No Do you have a cancer screening program for consumers? >Yes >No 24

26 Conversation If you are doing cancer screenings, how are you paying for them? Do you capture all the services a consumer receives in your system? Do you utilize peer supports for tobacco cessation efforts or cancer survivors? 25

27 What don t you know? Are you engaged with your state s Comprehensive Cancer Control Coalition? > Yes > No Are you aware that your state s Public Health Agency may fund innovative cancer prevention or tobacco cessation efforts? > Yes > No Do you think you can build in screening and brief intervention for a variety of health conditions? > Yes > No 26

28 Remove Barriers - Identify Revenue Screening services BH Services or Training to physicians, FQHCs & Emergency Departments Geographic capture Peer and Recovery Supports Integrated Care 27

29 Integrated Care Team up with health provides to ensure strong network of referrals for treatment options utilizing cessation medication. Build in connections to insurance in your process maps/consumer flow of treatment. Providers who have moved to integration of physical and behavioral health explore your process maps to integrate coverage for cessation screening, intervention and treatment. Health homes come in here to. 28

Tobacco Settlement 2000-2025 SOURCE: http://www.kff.org/health-costs/state-indicator/tobacco-settlementpayments/?

30 Tobacco Settlement SOURCE: 29

31 Topics we plan to present CPT Codes for Tobacco Cessation and Cancer Prevention E-cigarettes Peer Specialists and financing their work Public Housing and Tobacco Cessation On a scale of 1-5, with 5 being the highest priority how would you rate your interest in these topics? 30

32 What topics would you like to learn about? Can we Talk? What topics would you like to learn about around financing for tobacco cessation and cancer control? 31

33 White Board.Let s brainstorm What financial barriers do you face to fund tobacco cessation or cancer prevention and detection? Has your organization attempted to implement programs through grants and then found they were not sustainable? What topics would you like to learn about to fund these efforts? 32

34 White Board.Let s brainstorm 33

35 Cancer Control & Prevention Community Of Practice Summer Series Links to Care: Essential Elements for Integrating Comprehensive Cancer Control (CCC) Strategies into Clinical Practice for Behavioral Health Populations on July 11 th from 1-4pm ET Beyond Diagnosis: Applying Best Practices to develop Survivorship Care Plans for Behavioral Health Populations on August 8 th from 2-4pm ET Promising Practices: Track, Monitor and Address the Needs Across the Cancer Continuum in Behavioral Health Populations on September 12 th from 2-4pm ET 34

36 Let s learn together and grow resources Join NBHN at Please take the quick survey when you exit this webinar. We really want your feedback. There will be a question asking for your contact information if you want to present a funding idea that you have discovered is sustaining your efforts around tobacco cessation and cancer control for future webinars. We know you are innovators and want to hear your success and highlight it. 35

37 Enjoy Your 4 th of July

Cracking the (CPT) Code for Tobacco Cessation & Cancer Prevention

Cracking the (CPT) Code for Tobacco Cessation & Cancer Prevention Wednesday, September 13th, 2017, 3:00pm EDT Presented by: Marcey Dolgoff Alter, MBA, MHA Moderated by: Dawn Randolph, MPA Welcome! Dawn