Linda Hurley, CEO January 2020 Effect of Turnover vs. Employee - - PowerPoint PPT Presentation

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Linda Hurley, CEO January 2020 Effect of Turnover vs. Employee - - PowerPoint PPT Presentation

Sep 28, 2023 188 likes •328 views

Linda Hurley, CEO January 2020 Effect of Turnover vs. Employee Retention 60% % Turnover Rate 50% % of Termed Employees 40% That Left w/ Less Than a Year of Service 30% 20% Top 2 Reasons for Leaving Economic Down Turn Exit interviews

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SLIDE 1

Linda Hurley, CEO January 2020

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SLIDE 2

0% 10% 20% 30% 40% 50% 60%

% Turnover Rate % of Termed Employees That Left w/ Less Than a Year of Service

Effect of Turnover vs. Employee Retention

Economic Down Turn

Top 2 Reasons for Leaving Exit interviews indicate….. 1. Low Compensation 2. Low Education Reimbursement

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SLIDE 3

Medicaid Rates Weekly Methadone Services 2019 (First Month of Treatment)

4 State Weekly Rate Comparison

$78 $80 $82 $84 $86 $88 $90 $92 $94 $96 $98 Basic Opioid Treatment CT MA MD RI

Criteria

  • 7 days of medication dosing
  • 1 unit (15 minutes) of

counseling based on a 1 hour per month requirement

  • Massachusetts & Maryland

unbundled

$ per week

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SLIDE 4

Medicaid Rates Unbundled for MA & MD (After First Month of Treatment)

4 State Weekly Rate Comparison

$0 $20 $40 $60 $80 $100 $120 $140 $160 $180 First Mo. Opioid Tx CT MA MD RI

Criteria

  • First 4 weeks of treatment
  • 7 days of Medication Dosing
  • 1 hour per week of

counseling required in unbundled states Massachusetts and Maryland

$ per week

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SLIDE 5

Weekly Medicaid Rate vs. Weekly Medicare Rate

$0 $50 $100 $150 $200 $250 Weekly Rates RI MedicaidMedicare Medicare

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SLIDE 6

Medicaid Rates General Outpatient: Basic Services

1 Hour of Individual Counseling

$0 $20 $40 $60 $80 $100 $120 1 Hr MH / SU Session CT MA MD RI

MH or SU Assessment

$0 $20 $40 $60 $80 $100 $120 $140 MH /SU Assessment CT MA MD RI

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SLIDE 7

General Outpatient Cost of Substance Use Treatment

Description 45 Minute Session 60 Minute Session Average General Outpatient Counselor Salary inc. Fringe $43.40 $56.42 Un-reimbursable Toxicology Screening $11.00 $11.00 Indirect Costs: Including but not limited to: un- reimbursable case management, clinical supervision, continuing education, technology and EMR, physical plant, medical billing and office administration, insurance, legal, audit, etc. $24.93 $31.74 TOTAL $79.33 $99.16

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General Outpatient Carrier Reimbursement Rates 252 Patients

Medicaid

(.7%)

BCBS

(13%)

NHP Com

(5%)

NHP Integrity

(2%)

NHP RiteCare

(Medicaid) (35%)

Tufts Com

(.7%)

Tufts Public

(Medicaid) (2%)

United Com

(5%)

United Ritecare

(Medicaid) (19%)

45 Minute Session

Reimburse- ment

48.91 73.11 77.00 77.00 77.00 89.69 51.86 77.00 77.00

Cost to Deliver

79.33 79.33 79.33 79.33 79.33 79.33 79.33 79.33 79.33

Gain or (Loss)

(30.42) ($6.22) ($2.33) ($2.33) ($2.33) $10.36 ($27.47) ($2.33) ($2.33)

60 Minute Session

Reimburse- ment

71.62 74.57 82.25 82.25 82.25 133.20 77.14 82.25 82.25

Cost to Deliver

99.16 99.16 99.16 99.16 99.16 99.16 99.16 99.16 99.16

Gain or (Loss)

(27.54) ($24.59) ($16.91) ($16.91) ($16.91) $34.04 ($22.02) ($16.91) ($16.91)

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General Outpation 60 Minute Counseling Session Loss For All Carriers Except Tufts Commercial

  • $40
  • $30
  • $20
  • $10

$0 $10 $20 $30 $40 Medicaid BCBS NHP Com NHP Int NHP RC Tufts Com Tufts Pub United Com United RC

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SLIDE 10

General Outpatient Loss on One Hour of Counseling

Carrier 1 Mo. (Loss) Est 1 Yr . (Loss) Medicaid (165.24) (1,982.88) BCBS (2,360.64) (28,327.68) NHP Commercial (558.03) (6,696.36) NHP Integrity (304.38) (3,652.56) NHP RiteCare (4,413.51) (52,962.12) Tufts Commercial 204.24 2,450.88 Tufts Public (330.30) (3,963.60) United Commercial (558.03) (6,696.36) United RiteCare (2,384.31) (28,611.78) TOTAL LOSS* ($10,565.82) ($126,789.84)

* Based an average of 3 sessions per month

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Sources for Typical Rates and Fees

  • Maryland sample SUD Fee Schedule: http://maryland.beaconhealthoptions.com/2019/SUD-

Fee-Schedule-Eff-07-01-19.pdf

  • Maryland Behavioral Health Fee Schedule:

http://maryland.beaconhealthoptions.com/2019/PBHS-Individual-Practitioner-and-OMHC- Rates-Eff-07-01-19.pdf

  • Connecticut SPA: https://portal.ct.gov/-/media/Departments-and-Agencies/DSS/Health-and-

Home-Care/Reimbursement/Chemical-Maintenance- Providers/CTSPA18_016_Chemical_Maintenance_Clinics_FINAL_APPROVED.pdf?la=en

  • Connecticut Provider Services Fee Schedule:

https://www.ctdssmap.com/CTPortal/Provider/Provider%20Fee%20Schedule%20Download/ tabId/54/Default.aspx

  • Massachusetts Rates for Addiction Services: https://www.mass.gov/doc/rates-for-certain-

substance-related-and-addictive-disorders-programs-effective-january-1-2020-0/download

  • Massachusetts Behavioral Health Rates: https://www.mass.gov/regulations/101-CMR-

30600-rates-of-payment-for-mental-health-services-provided-in-community-health

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SLIDE 12

Question and Answer