Pay for Success

www.telecarecorp.com/pfs

In 2017, Telecare opened the nation's first mental health Pay for Success (PFS) program in Santa Clara County, California, called Partners in Wellness. The innovative, six-year, performance-based contract to deliver publicly-funded services provides incentives for achieving outcomes, is rigorously evaluated and data-driven, and helps bridge gaps and foster collaboration within systems of care. The goal is to reduce clients' use of psychiatric hospitals, psychiatric emergency services, state hospitals, and other high-cost mental health services while also ensuring each client’s whole-person wellness.

Presentations & Information

Telecare was mentioned in Mental Health Weekly’s October 26, 2015 article on being the nations first mental health PFS program.

At NatCon2018 on April 23-25, 2018, Telecare hosted a lunch and learn presentation where we shared initial results from our PFS program, as well as an overview of the PFS model, a clinical overview of the program, and learnings for other systems interested in possible implementation.

At the California Healthcare Association Behavioral Health Care Symposium on December 10 & 11, 2018, Telecare presented on the PFS model, the model’s goals, lessons we have learned so far, and the financial and clinical impacts this type of model has on the larger system of care.

PFS Model

What are the practical benefits of our PFS program for hospitals?

Conserve resources for other community needs
Move people out of ERs to appropriate levels of care
Reduce disruption in waiting rooms, ERs, etc.

How does PFS address larger system of care challenges?

What are the goals of PFS in behavioral health?

Connect public and private sectors
Jump-start innovation
Increase rigor in social services

Our PFS Program

Our Clinical Services

Typical PFS Partner

Clinical Services graphic for website.png

We See It All: Complex Needs
- Mental health (psychosis, mania, depression, anxiety…)
- Active substance use
- Physical health (diabetes, hypertension, hyperlipidemia…)
- Complex life needs (unhoused, not working, isolated, history
  of violence)
Meet Enrollment Criteria
- High-utilization
- SMI (severe mental health diagnosis)
- Life needs can be met
Randomized In/Out
- Partners in Wellness
- Control group