Andrew Dreyfus
speaker
86 appearances
1 recordings
1 series
first heard Nov 2020
last heard Nov 2020
Andrew Dreyfus’s voice in public audio — every appearance, attributed to the second.
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Appearances
Hi, I'm Andrew Dreyfus.
I'm the CEO of Blue Cross Blue Shield of Massachusetts.
Thank you to Mackenzie and our hosts for including me today.
I've worked on mental health from both in the public sector and in the private sector.
And our health plan thinks a lot about how do we
care better for our members with both mental health and substance use disorder conditions and how to make that a part of the broader healthcare movement.
Sure.
It's interesting because there's a lot of parallels between some of the initiatives that
Victor is trying to do on the public side that we're trying to do on the private side.
So I'll just give you a little context that about a decade ago, we made a decision at Blue Cross Blue Shield of Massachusetts to try to kind of take mental health and substance use disorder treatment kind of out of the shadows and put it in the mainstream of care.
The first thing we did is we stopped doing what many health plans still do, which is they outsource or carve out mental health services to private companies.
We carved it in, took it in, hired a number of mental health clinicians from psychiatrists to social workers to work alongside our other physicians and nurses inside the company to make sure that care for our members was as integrated as possible.
The next thing we did is we kind of looked at the benefits we were offering.
And so first what we did is we made sure that all the clinicians who accepted our value-based payment model, our global payment model included
behavioral or mental health in that.
And what we saw immediately was when they started to accept some financial and clinical risk for the care they were offering, they started to integrate social workers and psychologists right into the primary care setting.
And that was a really important advance.
We then, rather than constructing a limited network of mental health clinicians, we opened it up to basically any willing mental health clinician in the state.
And so we have a very, very broad
Dr. network and then you know we started hearing complaints about administrative barriers, and so we eliminated most of those.
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