Transforming Behavioral Health Care in Virginia.

The behavioral health care transformation in Virginia resulted not from one policy change but from multiple changes prior to Medicaid expansion. These changes combined to shape a new behavioral health landscape, with more providers and more treated patients. Virginia's layered approach may inform other states seeking to strengthen their capacity to fight the substance use epidemic, even as new epidemics emerge.

Low-Cost, High-Volume Health Services Contribute The Most To Unnecessary Health Spending.

An analysis of data for 2014 about forty-four low-value health services in the Virginia All Payer Claims Database revealed more than $586 million in unnecessary costs. Among these low-value services, those that were low and very low cost ($538 or less per service) were delivered far more frequently than services that were high and very high cost ($539 or more). The combined costs of the former group were nearly twice those of the latter (65 percent versus 35 percent).