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Addressing the Social Determinants of Health in Program, Payment, and Policy: Extrapolating the Triple Aim for Population Health
There is much more to being healthy than traditional health care. In fact, “health care” is a surprisingly minor factor in health and the prevention of premature death, just 10 percent. Social circumstances, environmental exposures, genetic predisposition, and personal behavior combined...
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Adapting to System Reform
This article is the first in a quarterly series giving voice to the perspectives of individuals with lived experiences as they share their opinions on a particular topic. The authors of this column facilitated a focus group of their peers to inform this writing. The authors are served by SUS...
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A New Face on Familiar Trends
Last year I attended a conference at which Dr. Michael Hogan, the former Commissioner of the New York State Office of Mental Health, delivered a keynote address on emerging issues and trends within health care reform. He distilled a seemingly inchoate mass of movements, mandates and initiatives...
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The Promise and Peril of Value Based Behavioral Health Care
By aligning payment with value, we can achieve the triple aim of better outcomes and better experience of the healthcare system at a lower cost IF we define value in terms of wellness, recovery and improved quality of life. In this case as with almost everything in our healthcare system today, the...
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Developing Workforce Knowledge Through Technical Assistance
The transition to Medicaid Managed Care holds the promise of moving the behavioral health system toward the triple aim. It requires many organizational changes, from responding to and managing shifting resources, to shifts in job descriptions and roles to which agencies must acclimate. The result,...
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Insurance Models to Achieve the Triple Aim
Most people think that the reason for bringing behavioral health services under managed care—a “carve-in”—is to save money. They’re partially right. Carving in services has resulted in savings for the Medicaid program and for States in many instances. In a carve-in, behavioral health...
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Integrated Care Models in Managed Behavioral Healthcare Organizations
The Association for Behavioral Health and Wellness (ABHW) represents specialty behavioral health and wellness companies that provide services to treat mental health, substance use, and other behaviors that impact health. ABHW members have long histories with integrating behavioral health care and a...
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Opportunities for Improved Services with Integrated Care
The key component of integrated care – coordination of primary and behavioral health services in a way that is accessible from one place – is not a new concept for many substance abuse treatment organizations, such as Odyssey House in New York City, that operate Article 28 licensed medical and...
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A New Model for Integration of Care: The Ambulatory ICU
Patient Centered Medical Homes (PCMH) are built upon access, communication, continuity and ongoing performance improvement. Health Homes have been most successful in engaging marginalized difficult patients with little primary care utilization but falter when successful treatment requires care by...
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Integrated Care at Last?
This issue of Behavioral Health News is devoted to current efforts to integrate care for people with behavioral health conditions. So many complex mechanisms are being created that I get lost in the maze of confusing names and acronyms. “Health home”, “medical home”, “HARP”,...
