UCLA: Behavioral Health Network Augmentation
Carenodes contracted 30 additional providers, significantly expanding UCLA's behavioral health capacity.
The partnership resulted in approximately 100 new patients per day being served.
Translated to approximately $500,000 per month in new business for UCLA.
Introduction
UCLA, a globally recognized institution, boasts a comprehensive medical delivery system. However, it faced challenges in its behavioral health (BH) vertical, with issues stemming from an inadequate network to address the diverse mental health needs of its patients. This case study outlines how Carenodes partnered with UCLA to enhance their BH network, yielding significant improvements in patient care and business outcomes.
Project Overview
Project Title
UCLA – Behavioral Health Network Augmentation
Issue
UCLA's existing behavioral health network was overwhelmed, unable to meet the increasing patient needs. This led to regulatory compliance challenges and a substantial backlog of patients requiring mental healthcare. On average, UCLA, with its 35 on-staff providers, could handle only 50 of the approximately 300 new patients seeking care daily, necessitating an additional 75 providers.
Solutions and Implementation
Expanding Provider Network
Carenodes contracted 30 additional providers, significantly expanding UCLA's capacity to handle behavioral health cases.
Negotiating a Strategic MOU
A Memorandum of Understanding (MOU) was negotiated, leveraging UCLA's influence in payer negotiations. This MOU focused on streamlining authorizations and included provisions to maximize revenue while minimizing administrative costs.
Enhancing Patient Referral System
The partnership led to a more efficient referral system, ensuring timely patient care.
Results
Increased Capacity
The addition of 30 providers from Carenodes enabled UCLA to significantly reduce its patient backlog, improving both service quality and compliance with healthcare regulations.
Financial Impact
The deal resulted in approximately 100 new patients daily, translating to an increase of about $500,000 per month in new business.
Strategic Partnership
Carenodes became a key partner with UCLA, not only expanding the BH network but also contributing to broader business growth.
Conclusion
This partnership exemplifies how Carenodes' solutions can effectively address gaps in healthcare provision, particularly in the behavioral health sector. The collaboration with UCLA demonstrates Carenodes' commitment to enhancing healthcare delivery through strategic partnerships, innovative solutions, and a focus on both patient care and business efficacy. This case study serves as a testament to Carenodes' ability to work with major healthcare institutions, aligning our expertise in behavioral health with the needs of a world-class medical provider to create mutually beneficial outcomes.
Note: This case study is for informational purposes and reflects the project as of the date of publication.