When Banner Health Network (BHN) was vying for a spot in Arizona’s revamped $14 billion managed Medicaid program, the integrated health care system knew it needed something innovative to meet the state’s expectations for merging physical and behavioral health services. In late 2017, it synced up with emerging mobile technology provider Pyx Health, which focuses on social isolation and loneliness, and has found the tools provided by Pyx to be useful in triggering real-time interventions and providing the outcomes the state was seeking.
The Arizona Health Care Cost Containment System (AHCCCS) in 2017 issued a request for proposals from managed care organizations that would coordinate the physical and behavioral health care needs of 1.5 million Medicaid members. BHN was chosen as one of seven MCOs to integrate services for the new Complete Care program, which replaced the state’s Acute Care managed Medicaid program on Oct. 1, 2018. BHN, which is a clinically integrated network and accountable care organization that merged with University Health Plans in 2015, has a separate contract to serve the state’s long-term care program and operates a Dual Eligible Special Needs Plan (D-SNP).