title: Payer-provider patient registry utilized in a behavioral health home.
abstract: OBJECTIVE
  As defined by the Affordable Care Act, health homes seek to improve healthcare coordination through data exchange and health information technologies; however, few examples of how to use such technology are available. The present effort describes a payer-provider patient registry for behavioral health home service.
  
  
  METHODS
  An observational study design was used to describe characteristics of individuals identified by the payer-provider patient registry.
  
  
  METHODS
  In Pennsylvania, behavioral health agencies serve as health homes, with support by a behavioral health managed care organization (BHMCO) in the absence of a state waiver for health homes. The BHMCO initiates a priority patient registry monthly based on diagnoses for serious mental illness (SMI) and at least 1 chronic physical health condition. Providers contribute health data through a secure Web-based portal that become part of the registry and identify new participants.
  
  
  RESULTS
  We identified 3759 individuals in the priority patient registry; 91% were identified by the payer. Most commonly, individuals with SMI were identified with hypertension (39%), asthma/chronic obstructive pulmonary disease (27%), hyperlipidemia (20%), and diabetes (18%). Annual behavioral health Medicaid expenditures for individuals in the 12 months prior to appearing on the registry averaged $14,685 per individual. Twelve percent of registry participants had annual behavioral health care expenditures over $25,000.
  
  
  CONCLUSIONS
  The use of claims data and health assessment information can identify individuals presenting with complex healthcare needs that may benefit from behavioral health home service.
authors.affiliation: UPMC Insurance Services Division, 339 Sixth Ave, Ste 1300, Pittsburgh, PA 15222. E-mail: mesianomm@ccbh.com.
authors.forename: Michele
authors.initials: M
authors.lastname: Mesiano
authors.forename: Meghna
authors.initials: M
authors.lastname: Parthasarathy
authors.forename: Shari L
authors.initials: SL
authors.lastname: Hutchison
authors.forename: David
authors.initials: D
authors.lastname: Salai
authors.forename: Suzanne
authors.initials: S
authors.lastname: Daub
authors.forename: Mary
authors.initials: M
authors.lastname: Doyle
authors.forename: James M
authors.initials: JM
authors.lastname: Schuster
mesh_terms: D017281:Cost of Illness; D006233:Persons with Disabilities / Q000534:rehabilitation; D005260:Female; D006282:Health Personnel / Q000191:economics* / Q000458:organization & administration; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006801:Humans; D007345:Insurance Claim Review; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services / Q000458:organization & administration*; D058991:Patient Protection and Affordable Care Act; D018802:Patient-Centered Care / Q000458:organization & administration*; D010414:Pennsylvania; D012042:Registries