ABC Training Company Outpatient Behavioral Health Gauge your plan’s outpatient behavioral health utilization and costs compared to that of your peers. For this report, the data includes claims that occurred in an outpatient setting for substance abuse or mental health diagnoses. Visits per 1000 Average Paid per Visit Total Paid 1,200 $200 $250,000 1,000 $200,000 $150 800 $150,000 600 $100 $100,000 400 $50 200 $50,000 0 $0 $0 Actual Norm Actual Norm Actual Total Norm Total Actual visits 725 Actual avg paid/visit $92.26 Actual total paid $66,890 Norm visits 1,380 Norm avg paid/visit $156.21 Norm total paid $215,506 Amount over/under norm -655 Amount over/under norm ($63.95) Amount over/under ($148,616) Percent over/under norm -47.45% Percent over/under norm -40.94% norm Percent over/under -68.96% norm Points to consider: • Do you have an effective employee assistance program (EAP)? • Is word-of-mouth winning out over network communication? If so, is it driving network utilization toward out-of-network providers? Norm source: Copyright ©2018 Truven Health Analytics Inc. MarketScan® Research Databases. All rights reserved. Copyright @ 2017 Zywave, Inc. 351737 - January 1, 2018 - December 31, 2018[40]