Opportunities to Promote Children's Behavioral Health Health Care Reform and Beyond: Workshop Summary (2015) / Chapter Skim
Currently Skimming:
3 Funding: Opportunities, Threats, and Potential for Innovation
3 Funding: Opportunities, Threats, and Potential for Innovation
Pages 23-32
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 23... ...
Program coordination and integration can in turn incorporate mental health care and prevention into such settings as pediatric practices, community health centers, and schools. INTEGRATING SERVICES AT THE STATE LEVEL Medicaid, together with the Children's Health Insurance Program (CHIP)
|
From page 24... ...
States are finding new ways to link services that traditionally have been separate, where, for example, people had one insurance card for mental health needs and another insurance card for physical health needs. The third level of integration involves health care providers.
|
From page 25... ...
In recent decades, managed care organizations have helped to widen the division between medical and behavioral health. "We have the opportunity, through claims and through financial incentives, to push the behavioral health practitioners closer to the medical providers, particularly in primary care settings," said Friedlander.
|
From page 26... ...
Grants to more than 430 of the health centers supplement what they are already doing for behavioral health care and drive integrated services by bringing more providers onsite and through increased use of screening and brief interventions with patients, including youths. As a result of this behavioral health integration funding, which requires the addition of at least one new on-site provider and movement along the spectrum toward integrated care, the program expects the number of people receiving behavioral health services to increase.
|
From page 27... ...
Its large Partnerships for Patients program has been seeking to decrease hospital-acquired conditions, 1 of its 26 hospital engagement networks encompasses children's hospitals, and it has been examining models created by practitioners to see if policies from CMS create barriers to those models. CMS's health care innovation awardees include pediatric providers, and it has sought to increase that number in round two of the health care innovation awards.
|
From page 28... ...
In some, behavioral health providers are the locus of control, while in others control resides more with primary care providers. A second model is managed care in which payments are integrated, Browning continued.
|
From page 29... ...
We have also seen behavioral health practitioners use the opportunity to offer services rent free but then provide interventions other than quick evaluations." Friedlander described another example of integrating behavioral health in other care settings in Aetna's work to involve behavioral health practitioners in pain clinics, because many patients in these clinics not only have an underlying medical condition but also have dependence on controlled substances, underlying behavioral health conditions, or other issues that make their cases complicated and expensive. To demonstrate the scale of undergoing efforts involving intergraded care, Shockey noted that in 2013 the health centers provided more than one million people with behavioral health care within the health centers themselves.
|
From page 30... ...
Another opportunity is for alignment of high-quality measures of behavioral health integration across programs, which enhances the feasibility for providers, states, and health plans in reporting and collecting measures. Shockey pointed out that in 2014 the National Quality Forum questionnaire, a behavioral health clinical performance measure focused on depression screening and treatment, was added to the health centers, and was one of many required clinical and financial performance measures.2 However, many other things could be measured.
|
From page 31... ...
The PROMIS measures, for example, are patient-centered, Web-based, and free.3 3 Additional information on PROMIS can be found at: http://www.nihpromis.org (accessed July 30, 2015)
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.