EHR Systems and Behavioral Health: Advice for the Faint of Heart

The RAND Corporation recently released a report expounding the virtues of electronic health records systems’ positive impact on healthcare costs. This hotly debated topic almost always addresses the cost of medical care, hospitalizations, labs, imaging and surgery and almost never includes the cost of behavioral health. Our field’s rate of technology adoption probably has [...]

CMS Offers States, CHIP and Medicaid MCOs Limited Direction with Respect to Parity

On November 4th Cindy Mann of the Centers for Medicare and Medicaid Services (CMS) offered a rare glimpse into the guidance and direction plans and providers around the country are anticipating in January. Specifically, her letter was directed to “State Health Officials” responsible for Medicaid and CHIP. Her purpose was to provide some “general [...]

The Behavioral Health Field Must Address Quality Part 2

When the 2009 State of Health Care Quality Report lists 5 trouble spots – and all are related to behavioral healthcare – it should catalyze our efforts to achieve quality goals in our field. How do we make it happen?

I am suggesting that we approach quality in our field the same way we’ve [...]

Health Plans Face Daunting Tasks. Parity Not High On List of To-Dos

I am attending the California Association of Health Plans annual conference this week and thought I would share some of what I am observing. For starters, Howard Khan, CEO of LA Care Health Plan and Chairman of CAHP Board provided a keynote that immediately established the context where health plans are concerned. He pointed [...]

Are Health Reform and Health Plans Mutually Exclusive?

Tuesday, the Senate Finance Committee will take up the fate of at least one reform proposal. On the eve of that vote, the American Health Insurance Plans (AHIP) released a report prepared by PricewaterhouseCoopers (PwC) demonstrating the bill will wind up costing more than its authors are admitting. Talking heads are exploding in an [...]

Parity Regulations & Technical Guidance Delayed until after January 1, 2010. Can Pamela Hyde Get Approved and Help?

Surprised about the delay? No, but employers and plans will need to move forward carefully, doing everything they can to comply reasonably and in “good faith” until we receive clarification.

On October 2nd, HHS Secretary Kathleen Sebelius wrote to House and Senate lawmakers saying that the administration “aims” to issue regulations for the one-year [...]

Reform Package Gains Steam – Stigma Dealt Another in a Series of Crushing Blows

The Senate Finance Committee has wrapped up its debate over the most significant changes in the U.S. health-care system in decades. In the process, they have made the bill more attractive to Republicans and moderate Blue Dog Democrats by making some crucial concessions. Namely, they have agreed to eliminate the legislation’s most punitive taxes [...]

Mental Health Providers Lining Up Behind Reforms – Good News For Individuals Suffering From Mental Health and Substance Use Disorders?

The American Psychological Association (APA) announced today that it supports H.R. 3200, America’s Affordable Health Choices Act, as the basis for health reform. This action follows the American Medical Association’s (AMA) decision to do the same. The benefits of the bill cited by the APA include:

Requiring a “basic benefit package” for all plans [...]

Taking the Conservative Approach to Health Spending

This is not meant to be a political statement though it will raise political hackles. It’s purely an observation and a series of nagging questions that I want to get on the table. Last night I read that the average household of four paid $6,000 in premiums for health coverage in the year 2000.  [...]

Reform: Parity’s Friend or Foe?

There are two astronomical events happening at the same time: Parity regulations are being crafted to impact more than 100 million Americans while health and insurance Reform packages are being considered -the impact of which will be felt by all of us. Oddly, both are still vague and we lack the foresight to prepare [...]