The combination of our experience in health economics, actuarial analysis and finance gives you confidence in the outcomes of your BerryDunn engagement.

Jim Highland

We have expanded to bring you a wider array of services and skills. Read our announcement for more details on our recent merger.

Mitigating financial risk and improving operating efficiencies and clinical outcomes for organizations managing behavioral healthcare

BerryDunn advisors understand that managing behavioral healthcare, including substance use disorder treatment, is different. We bring a cross-disciplinary team of specialists who understand behavioral healthcare clinical and policy frameworks, finance, operations, and data. Working with not-for-profit organizations—particularly those managing publicly-funded care—we provide a variety of services.

We provide: 

  • Actuarial certification of behavioral health managed care organization liabilities and claim liability assessments that account for authorization practices, utilization patterns, and provider billing systems specific to behavioral health
  • Capitated rate development and financial analysis for behavioral health managed care organizations
  • Support for aggregating claim data to form episodes—longer-term views of patient health—that meet the unique challenges of incorporating data from facility- and community-based behavioral healthcare
  • Risk-adjustment methodologies for populations using behavioral health services
  • Behavioral healthcare outcomes measurement
  • Assistance with the unique requirements of authorization, claim adjudication, and other operational systems supporting behavioral health managed care

Want additional information? Contact Jim Highland.