The Behavioral Health Field Must Address Quality – Part 1

Last week, the President of the National Committee for Quality Assurance (NCQA), Margaret O’Kane, reported that quality of care in the United States did not improve in 2008. She went on to say that she believes health reform must address quality. A review of the report makes it abundantly clear to this author that [...]

The Commonwealth Fund Reports on Suicide -Access and Equity in Coverage Make A Difference

The Commonwealth Fund has released it 2009 report titled: “Aiming Higher – Results from A State Scorecard on Health System Performance” and the evidence is irrefutable where suicide prevention is concerned.  States that demonstrate improved access to mental health care, especially among the most vulnerable populations, show a dramatic decrease in the rate of [...]

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 [...]

Employee Assistance Programs (EAP) & Parity: What Should Employers Do?

The question of what to do with employee assistance programs or EAP when Parity legislation drastically expands behavioral health coverage is not new. We have been dealing with this question for more than a decade. The questions take on several different flavors:

Is it true that mental health and substance abuse coverage will be [...]

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 [...]

World Suicide Prevention Day – September 10th – Another Good Reason For Effective Treatment and Coverage

Today is Suicide Prevention Day sponsored by the World Health Organization (WHO) and the International Association for Suicide Prevention (IASP). The relationship between suicide prevention and the breadth and value of behavioral health coverage as well as access to qualified experts who deliver evidence-based practices is clear and crucial. Enhanced care and coverage does [...]

Parity & Reform Must Address Rural Behavioral Health Care and Coverage

So much of what we’re hearing, reading and considering when it comes to behavioral health parity and health insurance reform is a function of our urban and suburban perceptions of  health care.  I lived and worked in a rural/frontier state for some time and can recall the difficulties and challenges we faced there and [...]

Reform, Rationing & Rationality: How The Healthcare Debate Unfolds In Behavioral Health

Watching the House and Senate debate and planning process and witnessing the media and pundit reaction on television and in the blog-o-sphere everyday, I find it no wonder the average voter is losing confidence. The healthcare debate in this country revolves around some of the most complex economic, scientific, legal and ethical challenges in [...]

Expanding Access to Behavioral Health Services Akin to Removing Barriers

As we approach the launch of Parity this Fall and Winter and slog through the trials and tribulations of the Healthcare Reform “process” in Washington DC, we are reminded that one of the overarching goals for both Parity and Reform is enhanced access to high-quality care.  I don’t know about you but that particular [...]