Due to a greater understanding of how many Americans live with mental disorders and addiction disorders and how expensive the entire health care expenses are for this group, we have reached a critical tipping point in regards to health reform. We are aware of the value of treating the health care needs of individuals with severe mental disorders and reacting to the behavioral healthcare needs of all Americans. This is developing a series of exciting opportunities for the behavioral health community along with a set of unprecedented challenges mental-health associations across the U.S. are decided to give leadership and expertise that supports member organizations, federal agencies, states, health plans, and consumer groups in ensuring that the key issues confronting persons with mental health and substance use disorders are correctly addressed and integrated into healthcare reform.
In anticipation of parity and mental health reform laws, the numerous national and community mental health organizations have been believing, meeting and writing for well over a year. Their work continues and their outputs guide those organizations lobbying for government healthcare reform.
1. Mental Health/Substance Use Health Provider Capacity Building: Community mental health and substance use treatment organizations, group practices, and individual clinicians will need to improve their ability to provide measurable, high-performing, prevention, early intervention, recovery and wellness oriented services and supports.
2. Person-Centered Healthcare Homes: There will probably be much greater demand for integrating mental health and substance use clinicians into primary care clinics and primary care providers into mental health and substance use treatment organizations, using emerging and best practice clinical models and robust linkages between primary care and specialty behavioral healthcare.
3. Peer Counselors and Consumer-Operated Services: We shall see an expansion of consumer-operated integration and services of peers into the mental health and chemical use service and workforce array, underscoring the crucial role these attempts play in encouraging the recovery and wellness of persons with mental health and substance use disorders.
4. Mental Health Clinic Guidelines: The speed of growth and dissemination of mental health and chemical use clinical tests and clinical instruments increases with assistance from the newest Patient-Centered Outcomes Research Institute and other research and implementation efforts. Obviously, part of the initiative includes helping emotional illness patients find a mental health practice nearby.
MENTAL HEALTH SYSTEM MANAGEMENT
5. Provider organizations will have to have the ability to work with new Medicaid designs and contract with and bill services through the Exchanges. For more information visit our site Hanzo-the-archer
6. Employer-Sponsored Health Plans and Parity: Employers and benefits managers need to reevaluate how to use behavioral health services to address absenteeism and presenteeism and develop a more resilient and productive workforce. Provider organizations will have to tailor their service offerings to meet employer needs and work with their contracting and charging systems.
7. Accountable Care Organizations and Health Plan Redesign: Payers will encourage and sometimes support the development of new management structures that support healthcare reform including Accountable Care Organizations and health program redesign, providing advice on how mental health and substance use ought to be included to improve quality and better manage overall healthcare expenses. Provider organizations should get involved in and become owners of ACOs that develop within their communities.
MENTAL HEALTHCARE INFRASTRUCTURE
8. Quality Improvement for Mental Healthcare: Organizations including the National Quality Forum will accelerate the evolution of a national quality improvement strategy that includes mental-health and chemical use performance measures that will be used to boost delivery of mental-health and substance use services, patient health outcomes, and population health and manage prices. Provider organizations will have to develop the infrastructure to operate in this framework.
9. Health Information Technology: Federal and state HIT initiatives need to reflect the significance of mental-health and substance use services and comprise mental-health and substance use providers and information requirements in financing, design work, and infrastructure development. Provider organizations will have to be able to implement electronic health records and patient registries and join these systems to community health information networks and health information exchanges.
10. Healthcare Payment Reform: Payers and health plans have to design and execute new payment mechanisms including case rates and capitation that contain value-based buying and value-based insurance design strategies that are acceptable for men with mental health and substance use disorders. Providers will have to adapt their practice management and billing systems and work processes in order to work with these new mechanisms.
11. Workforce Development: Major attempts such as work of this new Workforce Advisory Committee is going to be necessary to create a national workforce strategy to fulfill the needs of persons with mental health and substance use disorder including expansion of peer counselors. Provider organizations will have to take part in these efforts and be prepared to ramp up their workforce to meet unfolding demand.