Q&A Flashcards
A lot of providers and appts - how have you been able to grow this quickly?
Historically - fragmented, no single tech that brought providers, payers, patients together
Our tech drives value
- Providers: 1) tech is free = practice enablement tools + clinical quality and RCM support 2) earn more - higher rates 3) focus on what they love
- Patients: therapist covered by insurance, easy to use platform
- Plans: access to our network, transparency in BH data, true partner - custom builds
- Employers: access to network with 0 PMPM, streamlined experience
How do you know when to go to EAP vs you?
- Understand pain point - lots of vendors and BH network, how to manage
- bc we partner with you, we can help guide patients
- initial assessment - we can direct patients to their EAP benefit first, then help them find in network provider
Used to Lyra/Spring, employers use those, how do employers use this?
- often can’t find good match on Lyra/Spring so come to us to use in-network benefit
- those who use Lyra/Spring, come to us after EAP bc it’s ST
- diff bc we offer both EAP and in-network, $0 PMPM
what do you mean by continuity of care?
when we’re in both your EAP network and BH network, we can provide continuity of care bc someone can work with one of our providers for their EAP sessions, but once those are up, they can transition to in-network talk therapy
- diff bc most point solutions aren’t in network with most plans, so when EAP sessions are up, a member would have to find a new provider or pay out of pocket
How does headway.co / demo work in an EAP context?
majority of what you saw looks similar as we want to keep that same ease of use for members
diff: 1) insurance carrier is auto populated to Aetna EAP 2) no copay
When can we get the enhanced EAP? Is this a month or 4 month wait?
Love your excitement
Schedule F/U, first scope out what you need and figure out how we can support you
If you have client in mind or RFP, we can help you respond as we scope
How are you different from competitors? (Point solutions)
- Scale - largest, even EAP competitor asked to refer members
- Biz model - no costly PMPM to employer
- Continuity of care - we can be in EAP and outpatient BH networks, see same provider after EAP sessions are up
How are you different from competitors? (Alma/Grow)
- Scale - largest, member choice = therapeutic alliance
- Rates - pay higher, don’t charge to use our tech, attract providers organically
- No D2C marketing - no unnecessary demand
How does HW make money?
P4P contract w plans - deliver above and beyond our metrics, and earn enhancement on rates - drive this back to providers and we take %
- we’re diff bc we pay above rates than most competitors, even if that means taking less ourselves, but that’s why providers love us
Do you do EAP as well or is that strictly through behavioral health benefits?
- past - been disintermediated
- we’re diff bc we can be your EAP solution (in 3 EAP networks today) and our value prop is to partner w you to win those RFP’s
Do you offer exclusivity? If you’re building this for other plans, how do we compete?
- Don’t offer exclusivity bc it goes against mission - MH for all
- Differentiated support through pods, can create walls, be respectful of sensitive info during bid
Why go 1099 vs W2? How do you control for therapists working with others? Risk of losing therapists when not W2?
- Past - 80% solo practitioners, like autonomy
- 1099 - keep control but benefit from our tech
- proof they love working w us bc <2%, 80% only work with us
Are providers NCQA certified?
Headway isn’t NCQA accredited, but we use a credentialing verification org called CertifyOS, which allows us to do delegated credentialing
Provider breakdown
- 80% have masters degree
- 10% are clinical psychologists
- 10% prescribers (psychiatrists and NPs)
How do we not lower quality if we have scaled so quickly?
- Past - solo practitioners - hard to have oversight over fragmented providers
- with our scale and tech, we can
1) Recruit providers - structured interview to ensure fit and use evidence based therapy
2) Training - Headway Academy ensures quality is up to par
3) Tech - standardize best in class protocols, monitor quality and compliance
