Reform | Behavioral Health Today

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 [...]

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 [...]

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 [...]

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. [...]

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 [...]

In Support of a Public-Private Option

Throughout the campaign, we heard a chorus that went something like this: “I want those of you who are uninsured to benefit from coverage similar to mine. Federal employees enrolled in the Federal Employees Health Benefit Program (FEHBP) have tremendous health insurance. We could leverage these plans, model a solution accordingly, and vastly expand [...]

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