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 guidance” [...]
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 December 2nd, 2009 |  Leave a comment |  Tags: behavioral health, children's healthcare, healthcare, healthcare financing, Healthcare Reform, Mental Health Parity and Addiction Equity Act of 2008, Parity Regulations, quality, SCHIP, substance use disorder, treatment | Consumers & Families, Regulations & Legislation Those of you with no legal background, brace yourselves for this opening line: The Employee Benefits Security Administration (EBSA) – which is housed within the Department of Labor and oversees ERISA – through their Office of Health Plan Standards and Compliance Assistance, states that Parity will be subject to the “anti-abuse” proposed rule – 29 C.F.R. [...] 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 to [...] October 20th, 2009 | Leave a comment | Tags: Benefits, consumers and families, Employers, evidence-based practices, healthcare, healthcare financing, Healthcare Reform, Insurance, managed care, Mental Health Parity and Addiction Equity Act of 2008, NCQA, Parity, Parity Regulations, primary care, Public-Private Partnerships, Reform | Advocacy & Education, Funding and Financing, Regulations & Legislation 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 old [...] October 9th, 2009 | Leave a comment | Tags: behavioral health, Benefits, ERISA, healthcare, healthcare financing, Healthcare Reform, managed behavioral health organization, Mental Health Parity and Addiction Equity Act of 2008, Parity, Parity Regulations, Reform, SAMHSA | "The Business" of Behavioral Healthcare, Plan Design, Policies & Procedures, Regulations & Legislation 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 and [...] 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 ourselves [...] September 14th, 2009 | Leave a comment | Tags: behavioral health, ERISA, healthcare, Healthcare Reform, mental health, Mental Health Parity and Addiction Equity Act of 2008, Parity, Parity Regulations, SAMHSA | Regulations & Legislation |
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