Designing the Innovation in Behavioral Health Model
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Method: Design, Test & Scale
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Impact Area: Improving Mental Wellness
CaroNova is partnering with the South Carolina Department of Health and Human Services (SCDHHS) as a neutral third-party convener to support implementation of the CMS Innovation in Behavioral Health (IBH) Model, a multi-year federal initiative designed to strengthen how care is delivered and paid for to support people with behavioral health needs, including substance use disorders.
The model integrates behavioral health, physical health, and upstream drivers of health through value-based payment and coordinated care. South Carolina is one of only three states selected to participate in the first round of funding. The IBH model is unique because integrated care is provided through the behavioral health provider.
Where We Are
CaroNova is helping SCDHHS build the foundation for IBH implementation by:
- Facilitating the design of the statewide care delivery framework and value-based payment approach (Medicaid Payment Approach)
- Establishing and facilitating the IBH convening structure, including the Advisory Committee and workgroups
- Developing the data, quality, and health IT strategy needed to support reporting and evaluation
- Translating CMS requirements into practical, implementable plans
This phase focuses on thoughtful design, strong partnerships, and ensuring the model works in real-world clinical settings.
Where We're Going
Over the coming years, this work will support:
- Implementation of the care delivery framework and Medicaid payment approach across participating practices
- Strengthened health IT systems and data sharing infrastructure
- Measurable improvements in care coordination, access, equity, and outcomes
- A statewide model that serves as a national example of behavioral health transformation
Our Partners
Seven Steps to Innovation & Impact
CaroNova’s approach to pioneering lasting real-world health solutions is systematic, research-driven, collaborative, and community-minded. We purposely identify opportunities where partners can work together to cultivate, co-design, and catalyze health improvements in the Carolinas through our process.
Opportunity Action Teams:
Establish core metrics and potential outcome targets.
Design model of care and prepare for sprint testing.
Resources
SCDHHS Awarded $7.2 Million to Improve Integration of Behavioral Health Services
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Interested In Partnering With Us?
CaroNova brings together healthcare leaders, policymakers, community organizations, and investors to tackle the Carolinas’ most pressing health challenges.
We are always interested in opportunities to bring partners and resources together, support a robust change management process, and provide technical assistance to drive innovation. If you would like to learn more about working with us, please reach out below.
Let’s Create Lasting Change in Healthcare.
