In an issue brief prepared for The Commonwealth Fund and The SCAN Foundation, HMA consultant Jennifer Podulka and Vice President Jonathan Blum, analyze the temporary COVID-19-related changes to Medicare regulations, described the benefits and risks of the changes, and offered a framework to support policymakers’ decisions on the future of these temporary policies.
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This webinar was held on June 10, 2021. This was the fourth webinar in the series Exploring the Landscape of Behavioral Healthcare, covering the growing impact of behavioral healthcare on clinical outcomes and cost.
The integration of behavioral health into primary care settings is an effective means for treating less complex conditions, improving outcomes, and reducing referrals to overburdened specialty behavioral health providers. During this webinar, HMA behavioral health experts discussed strategies for integrating primary and behavioral care, including integration models that can be used to blend and shape services according to a clinic’s specific needs. Speakers also introduced a stepped approach to integration aimed at helping providers identify the right care for the right person at the right time.
- Understand the features and components of effective approaches to integrated care, including the roles of team members, workflows, and care protocols.
- Learn how to distinguish among various integrated care models, including the collaborative care model (CoCM) and primary care behavioral health model (PCBH).
- Identify key outcomes measures that demonstrate the effectiveness and value of integrated care to payers and patients.
- Understand the benefits of a stepped approach to integrating primary and behavioral health, ensuring patients receive the care they need.
Lori Raney, MD, Principal, Denver, CO
Barry Jacobs, PhD, Principal, Philadelphia, PA
This webinar was held on June 3, 2021.
People who use stimulants may experience a range of negative health outcomes, including cardiovascular events, increased risk of acquiring or spreading HIV and Hepatitis C, dental problems, violent behavior, psychotic symptoms, and overdose. Fortunately, an impressive array of evidence-based treatments and harm reduction strategies are available to help individuals address stimulant use and addiction.
During this webinar, HMA behavioral health experts outlined proven interventions, including motivational interviewing, cognitive behavior therapy, contingency management, and community reinforcement therapy. Speakers also discussed recent HIV outbreak clusters and harm reduction efforts.
- Understand the risks associated with stimulant use, including the likelihood of overdose, heightened susceptibility to certain physical and behavioral health conditions, and risk of diseases transmitted sexually or through needles.
- Review the impressive results achieved with evidence-based treatment strategies, including motivational interviewing, cognitive behavior therapy, contingency management, and community reinforcement therapy.
- Understand the importance of harm reduction interventions, including safe sex, pre- and post-exposure prophylaxis, overdose prevention education, and access to clean syringes, fentanyl test strips, and naloxone.
Charles Robbins, MBA, Principal, Los Angeles, CA
Shannon Robinson, MD, Principal, Costa Mesa, CA
A new Issue Brief, authored by Jennifer Podulka and Jon Blum, examines the many changes to Medicare regulations put in place during the COVID-19 pandemic. The brief, Which Medicare Changes Should Continue Beyond the COVID-19 Pandemic? Four Questions for Policymakers, tracks and categorizes the regulatory changes, describes the benefits and risks of the changes, and establishes a framework to support policymakers’ decisions regarding the future for the changes after the pandemic ends.
This week, our In Focus section reviews California’s May Revision to the Governor’s Budget, which proposes a $267.8 billion budget (with $196.8 billion General Fund) for fiscal year 2021-22. The revised budget includes $24.4 billion in reserves, the largest in history. The May Revision builds on the California Advancing and Innovating Medi-Cal (CalAIM) proposal and introduces several Medi-Cal initiatives and benefits for fiscal year 2021-22.
This week, our In Focus section reviews the key provisions of the Centers for Medicare & Medicaid (CMS) Fiscal Year (FY) 2022 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Acute Care Hospital (LTCH) Proposed Rule (CMS-1752-P), which includes Medicare payment updates and policy changes for the upcoming FY, with a comment deadline of June 28, 2021. This year’s proposed rule includes several proposals the hospital industry should carefully consider. In particular, the Biden Administration has proposed to:
This webinar was held on May 19, 2021.
COVID-19 has exposed deep fissures in our national and local healthcare systems, which comes as no surprise to mental health providers already accustomed to treating behavioral health needs rooted in systemic racial and economic disparities. Addressing these needs requires targeted outreach and robust community engagement efforts aligned with the principles of trauma-informed care. During this webinar, behavioral health experts focused on organizations, networks, partnerships, and protocols that ensure access to supportive, integrated behavioral healthcare for underserved individuals.
- Understand how the COVID-19 pandemic has exacerbated the behavioral health needs of underserved, marginalized, and isolated populations.
- Learn how to activate leaders and organizations to help build trauma-informed communities.
- Find out how engagement with faith and community-based partners can promote trauma-informed care, community healing, recovery, and innovation.
- Understand the intersection of behavioral and public health, including a look at how to maximize community behavioral health resources.
- Learn how accountable care and value-based payment models create opportunities to address trauma and behavioral health disparities.
Heidi Arthur, LMSW, Principal, Health Management Associates, New York
Lawrence Fowler, Deputy Director, Emma L. Bowen Community Services Center
Catherine Guerrero, MPA, Principal, Health Management Associates, Denver
Mark Sasvary, Ph.D., LCSW, Chief Clinical Officer, Coordinated Behavioral Health Services
In the last decade, there has been increasing awareness of the role behavioral health plays in healthcare outcomes and cost of care—especially in the public sector. Starting with Medicaid expansion and the high rates of behavioral health conditions in the expansion population to evidence of the impact of behavioral health on physical chronic disease and medical spending, behavioral health is an area of focus for improving the quality of care and reducing cost.
HMA Senior Consultant Suzanne Rabideau, Principals Heidi Arthur and Eileen Moscaritolo and Consultant Anh Pham recently developed the issue brief Exploration of a Personal Health Record for Children, Youth, and Families Involved with Child Welfare in CA for California’s Medicaid CalAIM Foster Care Model of Care Workgroup. The issue brief was developed to assist the workgroup in exploring options for establishing a portable personal health record (PHR) and support the workgroup’s efforts in making long-term recommendations on this topic. The PHR would give children, youth, families, and caregivers access to the child or youth’s health information.
The issue brief also
- Describes a PHR and it’s uses
- Identifies ways a PHR could assist in addressing the healthcare challenges often experienced by children, youth, and families involved with child welfare
- Identifies the federal and California-specific opportunities to facilitate access to a PHR for children and youth in foster care
- Identifies federal and California-specific challenges to implementing a comprehensive health record for children, youth, and families
- Shares potential options for the workgroup to consider
Suzanne Rabideau, MBA, MA, LPC, Senior Consultant
Heidi Arthur, LMSW, Principal
Eileen Moscaritolo, Principal
Anh Pham, Consultant