Helping Health Plans Improve Behavioral Health Outcomes While Reducing Total Cost of Care

PsychPlus provides scalable behavioral health solutions for Medicare Advantage, Medicaid, commercial, and value-based health plans through integrated psychiatry, therapy, substance use treatment, and risk-based population health programs.

From fee-for-service partnerships to shared savings, sub-capitated, and full-risk arrangements, we help health plans improve quality performance, reduce avoidable utilization, strengthen network adequacy, and deliver measurable member outcomes.

Explore A Value-Based Partnership

Behavioral Health Challenges Continue to Drive Medical Spend, Quality Gaps, and Member Disengagement

Health plans face increasing pressure to improve member outcomes while controlling behavioral health spend, reducing avoidable utilization, and meeting quality performance targets. Delays in access to care, fragmented treatment journeys, and low member engagement contribute to higher emergency department utilization, hospital admissions, and total medical costs.

PsychPlus helps health plans improve behavioral health outcomes, strengthen member engagement, and reduce total cost of care through integrated, value-based behavioral healthcare solutions.

Population Health and Cost Management Outcomes

Improved Member Outcomes and Treatment Engagement

Same-day and next-day access to psychiatry and therapy, combined with patient navigation, care coordination, medication management, and post-discharge support, helps members enter treatment sooner and stay engaged throughout their care journey.
For high-risk populations, including members with severe mental illness (SMI), PsychPlus provides enhanced care management to improve outcomes and reduce avoidable utilization.

Results: Earlier intervention, higher treatment engagement, improved member outcomes, reduced readmissions, and lower avoidable utilization.

Enhanced Population Health Visibility and Performance Insights

Population health analytics, utilization reporting, and outcomes measurement provide health plans with actionable insights into member needs, engagement patterns, quality performance, and behavioral health utilization trends across covered populations.

Results: Improved population health visibility, stronger quality oversight, better utilization management, enhanced performance measurement, and greater insight into member outcomes.

Shared Accountability for Quality, Outcomes, and Cost

PsychPlus partners with health plans through value-based arrangements—including shared savings, capitation, and performance-based models—to align incentives around improving member outcomes, quality performance, and total cost of care.

Results: Aligned incentives, improved quality performance, enhanced accountability, better member outcomes, and more predictable cost management.

Proven Results For Health Plans

Lower Acute BH PMPM Costs

Reduction in BH Inpatient Admissions

Improvement in Post-Discharge Follow-Up

Improvement in Antidepressant Adherence

“PsychPlus helped us launch a fully integrated behavioral health strategy tied to shared-savings outcomes. Within six months, we saw reduced behavioral-related ER admits, improved discharge follow-through, and better ROI across our plan portfolio.”
— VP, Population Health, National Health Plan

Ready to Strengthen Behavioral Health Outcomes?

Schedule a conversation with our leadership team to discuss your behavioral health strategy, operational goals, and value-based care initiatives.