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12 <br /> 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-party 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 CAROLINA <br /> Vice-Chair Hamilton asked, regarding services that will be subsidized, if there are service <br /> lines that won't be covered by insurance, Medicaid, or Medicare, or if the rates are too low, or if it <br /> is a combination of both. <br /> Travis Myren said it is both. He said urgent care services are typically not covered at all. <br /> He said Alliance pays a per diem rate of $250 or $500 per encounter. He said that would not <br /> cover a 23-hour period of treatment and stabilization. <br /> Vice-Chair Hamilton asked if private insurers cover it. <br /> Travis Myren said private insurers do not. <br /> Slide #7 <br /> DESIGN OPTIONS <br /> ORANGE COUNTY Eia <br /> NORTH CAROLINA <br /> cno-m cm, <br />