Resources

AHP Healthcare Solutions develops a wide range of reports and whitepapers for a broad audience of providers, payers and policy-makers.

We’re pleased to provide you with a  series of implementation tools addressing the Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008.  All of these resources are relevant to Health Care Reform as well given the need to comply with Parity in health insurance exchanges and Medicaid expansion.

CMS Resources for States Implementing Reforms

Recently, the Department of Health and Human Services Centers for Medicare & Medicaid Services (CMS) has provided guidance to state Medicaid directors and health officials. This guidance has significant implications for individuals with mental health and substance use disorders. The guidance covers:

• Application of the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA, Pub.L. 110-343) to Medicaid Managed Care Organizations, Children’s Health Insurance Program, and Alternative Benefit (Benchmark) Plans;and
•  Recommended healthcare quality measures for states to use as they assess their service delivery model for health homes, authorized by section 2703 of the Affordable Care Act. CMS intends to promulgate these quality measures in the rulemaking process.

For the full text of the guidance letters and other information, click on the links below.

Application of the Mental Health Parity and Addiction Equity Act to Medicaid MCOs, CHIP, and Alternative Benefit (Benchmark) Plans <http://ct.symplicity.com/t/eof/866e2c602d42d5e88817fc7c261704d1/3501518774/realurl=http://www.medicaid.gov/Federal-Policy-Guidance/downloads/SHO-13-001.pdf>

Health Home Core Quality Measures <http://ct.symplicity.com/t/eof/866e2c602d42d5e88817fc7c261704d1/3501518774/realurl=http://www.medicaid.gov/Federal-Policy-Guidance/downloads/SMD-13-001.pdf>

ACO Resources – Off-Site List

Launching Accountable Care Organizations — The Proposed Rule for the Medicare Shared Savings Program, The New England Journal of Medicine, 3/31/2011
- Berwick, Donald M.
Private-Payer Innovation In Massachusetts: The ‘Alternative Quality Contract, Health Affairs, 1/1/2011
- Chernew, Michael et al
Driving Population Health Through Accountable Care Organizations, Health Affairs, 1/1/2011
- DeVore, Susan, R. Wesley Champion
Accountable Care Organizations- Accountable for What, to Whom, and How, Journal of the American Medical Association, 10/20/2010
- Fisher, Elliott S and Stephen M. Shortell
FTC, DOJ Seek Public Comment on Proposed Statement of Antitrust Enforcement Policy Regarding Accountable Care Organizations, Federal Trade Commission, 3/31/2011
Accountable Care Organizations: The End of Innovation in Medicine?, American Enterprise Institute for Public Policy Research, 2/1/2011
- Gottlieb, Scott
High Performance Accountable Care: Building on Success And Learning From Experience, The Commonwealth Fund, 4/1/2011
- Guterman, Stuart
The ACO Model—Three Year Financial Loss?, The New England Journal of Medicine, 3/23/2011
- Haywood, Trent and Keith Kosel
The ACO Regulations — Some Answers, More Question, The New England Journal of Medicine, 4/13/2011
- Iglehart, John K.
Overweight And Out Of Shape: ACO Regs Need A Major Makeover, Health Affairs Blog, 4/7/2011
- Klar,Ron
Proposed CMS Regulation Kills ACOs Softly, Health Affairs Blog, 4/6/2011
- Lieberman, Steven
Accountable Care Organizations: A Framework For Evaluating Proposed Rules, Health Affairs Blog, 3/31/2011
- McClellan,Mark and Elliott Fisher
Health Policy Brief: Accountable Care Organizations (Adobe Acrobat PDF),Health Affairs, 8/13/2010
- Merlis, Mark
The Proposed Accountable Care Organization Antitrust Guidance: A First Look, Health Affairs Blog, 4/14/2011
- Miller, Joe
Why Accountable Care Organizations Won’t Deliver Better Health Care—and Market Innovation Will, The Heritage Foundation, 4/18/2011
- Numerof, Rita
Proposed Rules for Accountable Care Organizations Participating in the Medicare Shared Savings Program: What Do They Say?, The Commonwealth Fund, 3/31/2011
New ACO Rules Outline Gains and Risks for Doctors, Hospitals, Kaiser Health News, 3/31/2011
- Rau, Jordan, et al
The Potential of Global Payment: Insights from the Field, The Commonwealth Fund, 2/18/2010
- Robinow, Ann
Summary of Proposed Rule Provisions for Accountable Care Organizations under the Medicare Shared Savings Program (Adobe Acrobat PDF),Centers for Medicare & Medicaid Services, 3/31/2011
Perspectives on Health Reform—Achieving Accountable Care: Are We on the Right Path, The Commonwealth Fund, 4/14/2011
- Zezza, Mark A. and Stuart Guterman