Health care reform is one of the biggest concerns of all Americans. Finding a way to cover the cost millions of uninsured Americans is a difficult task, but there is one, like the health crisis must be completed worse
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All signs point to the adoption of a convention comprehensive health care reform bill in 2009, possibly extending health insurance to 46 million uninsured Americans. This goal is achieved through a combination of Medicaid eligibility expansion and the creation of a new health insurance exchange can be achieved ? in fact, a new health insurance marketplace ? those who earn above 100% of the Federal Republic of poverty level. The premiums for participants in the exchange will be heavily subsidized by the federal government. In return for this expansion of coverage, the Congress will introduce ways, larger provider accountability and responsibility of consumers in the health system while increasing the promotion of initiatives, the effectiveness and medical errors.Since many, to get coverage in CBHOs low-income uninsured (or underinsured) people are standing CBHOs and other community providers to benefit greatly from the coverage offered.
But then turned with a once-in-a-generation opportunity to secure significant additional funding for the public behavioral health system, many mental health organizations, a federal health care reform agenda that takes into account not only the overarching principles the current health reform debate, but more strongly for resources to address community behavioral health providers to make it better fit for the health needs of people with mental illness and substance abuse.What factors drive us?
The Substance Abuse and Mental Health Services Administration of the State survey shows that people with serious mental illnesses served by public mental health agencies, the highest mortality to a population somewhere in America have the public health system.
In particular, the average life expectancy for this population now keep people with HIV / AIDS. In addition, among psychiatric patients, the probability of death 55% higher than for patients with substance abuse than among those without substance use diagnosis diagnosed.Provider Accountability
Pause To
the predicted cost growth in the coming years, both the Obama Administration and Congress to promote evidence-based practice and increased provider accountability are required. This trend is encouraging in the new federal commitment of $ 1 billion for comparative effectiveness research and $ 20 billion to the adoption and use of electronic medical records contradict. .. Both initiatives are based on various topics of current health care debate. A) Agency responsibility for clinical outcomes, b) the systemic application of evidence-based interventions, c) reduced reimbursement for suboptimal results, and d) reporting on the detailed data encounter.
come
To Help Community Behavioral Health Provider?s preparations for a new era of accountability in health care in trying to mortality cited above, we focus on four primary initiatives: p>
Mental Health / Substance Use Disorders in benefit packages in the Exchange
As the Massachusetts health reform program endorsed by the Obama administration an approach , the private health insurance for low income uninsured persons funded by a health insurance exchange. Many private insurance companies such as Blue Cross / Blue Shield and Aetna would be in this new program / medical insurance to participate in the market place. Many mental health organizations are to: mental health and substance abuse benefits are part of any nationwide minimum benefit package; be improved case management must be provided to new enrollees with cognitive impairments are available to them; full parity is applied offered to all service packages in the substitution or attachment to help navigate the exchange / connector.
federal status for Behavioral Health Organizations
A new federal definition for federal Behavioral Health Center (FQBHC) , would establish that a) Federal-state for CBHOs who voluntarily meet the standards of a FQBHC, b) a definition for such a facility are clearly identified treatment goals and updates the minimum core services needed to establish and c) clearly defined national standards for that entity. In return for these new states status, the provider will work within FQBHCs asked new provider accountability standards (as mentioned).
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SMI Health Care Home is a demo of co-location of Primary Care in CBHOs
support
The Mental Illness, Chronic Care Improvement was Act of 2009 in the Senate (S. 1136) on 21 Senator Debbie Stabenow, 2009 by and on in the 26th House June 2009 (HR 3065) introduced by Representative Janice Schakowsky. The bill would, among many other things, co-locate primary care capacity in community mental health centers and other community-based mental health and substance abuse providers. This integrated approach to treatment is entirely aimed at reducing mortality and morbidity among clients in the public health system performance. While the mental health organizations have been able, a new $ 7 million in 2008, SAMHSA program engineer with a similar structure and goals of treatment, this demo targeted to Medicaid recipients to more direct influence on the single largest consumer of mental health and addictions .
inclusion in Federal Funding of CBHOs HIT initiatives
The Health Information Technology for Economic and Clinical Health Act (HITECH Act) was in the context of the economic recovery bill passed by Congress earlier this year put into effect. It creates a new $ 17000000000 Medicare and Medicaid reimbursement to physicians, hospitals and community mental health centers to help purchase and maintenance of health information technology for the purposes of the widespread acceptance and use of electronic health records. Although psychiatrists, these incentive payments, CBHOs how to access facilities, are not eligible for this promotion. Many mental health organizations, the inclusion of a CBHOs in all federal HIT initiatives to ensure that people with mental illness and addiction disorders access to the benefits of HIT on the providers who serve them.
Source: http://www.artnatur-deco.com/health-and-behavioral-health-reform/
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