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12 <br /> 1 Slide #6 <br /> OPERATING MODEL <br /> • County to construct and be responsible for major building systems on an <br /> ongoing basis <br /> • County will contract with a third-parry provider for clinical and medical services <br /> through Alliance Health. <br /> • Provider contract can limit access to patients who experience a behavioral <br /> health crisis in orange County <br /> • Provider will seek reimbursement for services through private insurance, <br /> Medicaid,etc. <br /> • County will be required to subsidize BHUC services that are not reimbursed to <br /> the provider through insurance, Medicaid, etc. <br /> ORANGE COUNTY <br /> NORTH CARolI N A <br /> 2 <br /> 3 Vice-Chair Hamilton asked, regarding services that will be subsidized, if there are service <br /> 4 lines that won't be covered by insurance, Medicaid, or Medicare, or if the rates are too low, or if it <br /> 5 is a combination of both. <br /> 6 Travis Myren said it is both. He said urgent care services are typically not covered at all. <br /> 7 He said Alliance pays a per diem rate of $250 or $500 per encounter. He said that would not <br /> 8 cover a 23-hour period of treatment and stabilization. <br /> 9 Vice-Chair Hamilton asked if private insurers cover it. <br /> 10 Travis Myren said private insurers do not. <br /> 11 <br /> 12 Slide #7 <br /> DESIGN OPTIONS <br /> ORANGE COUNTY coE <br /> NORTHCAROLINA "'•'"� <br /> wrrrtmm <br /> 13 <br />