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Decreases In Exercise Closely Linked With Higher Rates Of Depression During COVID-19

Decreases in exercise are closely linked with higher rates of depression during coronavirus disease 2019 (COVID-19). From March to July …

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Social Cognitive Impairment Similar In Schizophrenia & Autism

Those with “schizophrenia spectrum disorders” (SSDs) and those with “autism spectrum disorder” (ASD) have similar levels of social cognitive impairment. …

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Frequent Psychiatric Hospitalization Is Highest Among Those With Schizophrenia

The odds of becoming a “high utilizer” of psychiatric hospital services are highest among those with schizophrenia, at 111% higher. …

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Cuyahoga County, Ohio To Launch Jail Diversion Center For Behavioral Health Treatment

Cuyahoga County and the Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board are opening a pre-arrest diversion center that …

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Managing The A To “Z” Of Health, You May Be More Ready Than You Think

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Technology Update: Impacts On Treatment

Technology’s impact on mental health care service delivery is often lauded, but what’s the evidence thus far? Artificial intelligence, machine …

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More Than One Third Of Older Adults Will Struggle With Video-Call Telehealth Visits

Two separate studies corroborate that over a third of older adults will struggle with telehealth visits if they require the …

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Wellness In Mental Health: Examining Its Neurobiology & Clinical Application

In this presentation, the objectives are to:

Examining the neurobiology of wellness interventions and appreciating the associated clinical implications
Review data from …

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HHS Extends COVID-19 Public Health Emergency Declaration

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Two-Thirds Of Adults With High Deductible Health Plans Have A Health Savings Account; Most Do Not Contribute

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Driving Better Outcomes With A ‘Whole Life’ Approach

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Unemployment Tied To Veteran Suicide Rate; 550 Suicides Per Five Point Rise In Unemployment

An estimated 550 additional veterans in the United States are projected to die by suicide annually for every five-percentage point …

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American Foundation For Suicide Prevention Announces Diversity As Priority Focus Area For Research Funding

The nation’s largest private funder of suicide prevention research, the American Foundation for Suicide Prevention (AFSP) announced the research priority …

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Why Unemployment Matters To Health Care Organizations

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CDC Changes COVID-19 Guidance On Length Of Isolation For Those With COVID-19

People who have been confirmed with mild to moderate COVID-19 can leave their isolation without receiving a negative test, according …

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NIH Launches Clinical Trials Network To Test COVID-19 Vaccines & Other Prevention Tools

The National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health (NIH), has established a …

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Over 10 Million U.S. People Could Lose Employer-Sponsored Insurance By The End Of 2020

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Necessity Is The Mother Of Invention: Innovation In A Crisis

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IRS Says For-Profit Health Care Provider Organizations Must Pay Taxes On CARES Act Provider Relief Fund Payments

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Shatterproof Launches Addiction Treatment Platform ATLAS

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Homelessness Projected To Rise 45% By The End Of 2020 Due To COVID-19 Unemployment

Unemployment is projected to increase homelessness by up to 45%, from 568,000 as of January 2020 to more than 800,000 …

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Household Size & Employment Status Are Key Factors In Mental Health Among Canadians During COVID-19

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Kroger Health Receives FDA Emergency Use Authorization For Its COVID-19 Test Home Collection Kit

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Performance Of Humana ‘Bold Goal’ Social Determinants Program Continues To Improve At Five-Year Mark

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Why Value-Based Purchasing For Medications Matters

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The Present & The Future May Be Virtual—But What Are The Rules?

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North Carolina Selects Provider Organizations For COVID-19 Testing & Contact Tracing

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Medicare Proposes Allowing Continued Use Of Telehealth For Home Health Provider Organizations After COVID-19 Emergency Ends

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COVID-19 Case Rate Among Prisoners Was 5.5 Times Higher Than U.S. Population Case Rate; Death Rate Was 1.3 Times Higher

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17% Of ACOs Developing New Home Visit Programs

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Horizon New Jersey Health Completes Expansion Of ‘Neighbors In Health’ Program To Address Social Determinants Of Health

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An Estimated 1.64 Million U.S. Non-Profit Workers Lost Jobs Due To COVID-19

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Connecticut Sued For Failure To Reduce COVID-19 Risk At Mental Health Facilities

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Number Of Americans Serving As Informal Caregivers Rose 22% From 2015 To 2020

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Behavioral Health HEDIS® Measures: An Annual Update From NCQA©

The National Committee for Quality Assurance (NCQA) collects information on the performance of health care service delivery from health plans …

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Molina Healthcare To Acquire Certain Assets Of Passport Health Plan

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SAMHSA Publishes Final Rule Amending Addiction Treatment Records Privacy

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U.S. Department Of Veterans Affairs & Department Of Defense Launch National Telehealth Projects For Critical Care

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Epidemics & Pandemics: An Ongoing Threat To Public Health

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Introducing PsychU Nurses Corner Section Advisor Sara Jones, PhD, APRN, PMHNP-BC, FAANP

Julleah Johnson, PhD, and Sara Jones, PhD, APRN, PMHNP-BC, FAANP, discuss the PsychU Nurses Corner and the role of nurses …

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Centene & Quartet Health Expand Partnership Nationwide To Help Ensure Members Have Access To Critical Behavioral Health Care During COVID-19 Pandemic & Beyond

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Uber Launches Service To Help With COVID-19 Contact Tracing

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Consumers With Psychological Distress Reported Low Levels Of Personal Recovery After Receiving Mental Health Treatment

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Too Much Health Care?

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National Institutes Of Health Launches Rapid Innovation Initiative To Develop COVID-19 Home Or Point-Of-Care Tests By Fall 2020

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The Leader’s Role In Managing The Stress Of The Essential Professional

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Judge Rules Against Hospitals In Price Transparency Lawsuit

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Ready For The Digital Health Revolution? Note: It’s Not Just Telehealth

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Highmark, Kaiser & Humana Medicare Advantage Plans Rank Highest In Member Satisfaction

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Hawaii Cancels New Medicaid Contracts Due To COVID-19, Will Rebid In Fall 2020

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Optum, Wider Circle & Helping Hands Community Partner To Deliver Food To Vulnerable People In Los Angeles County During COVID-19 Pandemic

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$15 Billion HHS Relief Fund For Medicaid & CHIP Provider Organizations Is Open For Applications

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The Pandemic Provides A New Urgency For The Integrated Care Issue

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HHS Eliminates Protection From Health Care Discrimination Based On Gender Identity

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Los Angeles To Provide 6,700 New Shelter Beds To Clear Homeless Camps Near Freeways

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CMS Extends Deadline For Direct Contracting Letters Of Intent

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COVID-19 Pandemic In U.S. Could Cost Health Plans Up To $547 Billion Over The Next Two Years

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Medicare Adjusts ACO Risk Models To Account For COVID-19

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What To Say When You Want More

For provider organization executives looking at recovery planning, “top of the list” is different relationships with payers. In most discussions, …

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Uplift Family Services Awarded $4 Million Grant From SAMHSA

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Los Angeles County Homelessness Up Nearly 13%, Despite Sustained Increase In Number Of People Rehoused

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Spero Health Opens Ohio Clinic Offering Addiction Treatment With Telehealth Services

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WellCare To Invest In Critical Mental Health Resources In New Jersey

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Massachusetts Emergency Department & Outpatient Data During COVID-19 Crisis Indicate Fewer Assessments Of Psychiatric Symptoms

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Addcounsel Launches Orchestrate Health, At-Home Mental Health Care Service In UK

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CMS Makes COVID-19-Related Changes To Value-Based Care Models

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US Pharmacists Can Now Test For Coronavirus – They Could Do More If Government Allowed It

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24 Provider Organizations Receive Over $100 Million In CARES Act Provider Relief; New York & Presbyterian Hospital Tops The List

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San Diego County Launching Veterans Community Care Program & Releases RFP

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Tips For Protecting Community Pharmacists & Pharmacy Staff From COVID-19

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Protecting Yourself, Your Patients & Your Family

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Managing Suspected Cases of COVID-19 In Ambulatory Care & Community Pharmacy Settings

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COVID-19 Basics: What Pharmacy Personnel Need to Know During the COVID-19 Crisis

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Population Health: Clinical & Administrative Implications

Optimizing both population health and individual patient care will require major changes in how health care is delivered, starting with …

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New Roles For A Pharmacist Near You

We are 13 weeks into the pandemic crisis. For executives of health and human service organizations, the question is how …

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More Than 120 Behavioral Health Provider Organizations Awarded FCC COVID-19 Telehealth Program Funds

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Medicare Telehealth Claims Rose From 13,000 Per Week In March To 1.4 Million Claims Per Week In April

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NCQA Adjusts HEDIS Quality Measures Due To COVID-19 Pandemic-Driven Telehealth Surge

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CMS Proposes Regulatory Changes To Promote Medicaid Value-Based Drug Purchasing

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Almost Half Of ACOs Led By Physicians In 2018

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Seattle Coronavirus Assessment Network Resumes COVID-19 Testing

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Innovations In New Payment Models: A Look At State Examples Of Value-Based Payments

The health care economy continues to shift from the fee-for-service model that has been in existence for decades to value-based …

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Interacting With First Responders Webinar: Follow-Up Q&A Podcast

Elizabeth DiNapoli sits down with Kathy Day to respond to unanswered questions from PsychU’s Interacting with First Responders webinar. Their …

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Privacy & Security In Digital Health

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Medicare Advantage Plans Can Count Telehealth Professionals Toward Network Adequacy Standards In 2021

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Texas To Test All Residents & Staff In State-Run Homes For People With Disabilities & Psychiatric Hospitals

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Indiana Awards Medicaid Managed Care ABD Contracts To Incumbents Anthem & Centene/Managed Health Services & To UnitedHealthcare

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Kentucky Awards Medicaid MCO Contracts To Aetna, Humana, Molina Healthcare, UnitedHealthcare & WellCare

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Medicare Will Require Hospitals To Adopt The Hybrid Hospital-Wide 30-Day Readmission Measure By 2023

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240,000 Physician Practice Staff Laid Off In April 2020 Due To Pandemic; 1% Of Total Layoffs

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Iowa Medicaid Healthy Behaviors Program Participants Less Likely To Use Hospital-Based Care

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Nearly 27 Million Americans May Have Lost Job-Based Health Insurance Due To COVID-19; 42% Likely Eligible For Medicaid

Between March 1, 2020 and May 2, 2020, nearly 27 million Americans may have lost employer-sponsored health insurance (ESI) due …

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CMS Urges Medicare Advantage Plans To Relax Prior Authorization Requirements During COVID-19 Pandemic

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CMS Finalizes Telehealth & ESRD Changes For Medicare Advantage

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Facebook To Pay $52 Million To Settle Psychological Trauma Complaint By Content Moderators Who Developed PTSD

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14% Of Physicians Used Telemedicine Video Visits Weekly Pre-COVID-19

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Pennsylvania Clinical Network Signs Value-Based Contract With Aetna Medicare Advantage Plan

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Privacy & Security Considerations During The Pandemic

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FDA Publishes First Validation Results Of 12 COVID-19 Antibody Tests

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New York Orders Long-Term Care Facilities To Communicate Consumer COVID-19 Test Results & Deaths To Families

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Virginia DOC To Release More Inmates As COVID-19 Cases Rise In State Prisons

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FDA Guidelines Temporarily Expand Access To Low-Risk mHealth & Telemental Health Devices

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White House Announces Plan To Expand COVID-19 Testing To 2 Million Tests Per Week

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Humana & National Quality Forum Say New Value-Based Payment Models Should Include Social Risks

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CMS Continues Efforts To Expand Access To Telehealth Services

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9% Of Long-Term Care Residents Receive Less Medication Than Needed Due To Inadequate Prescription Coverage

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CMS Approves Washington State 1115 Medicaid COVID-19 Emergency Waiver, Will Allow Higher HCBS Rates To Maintain Capacity

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New Jersey Creates Regional Health Hubs To Replace Medicaid Accountable Care Organizations

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Permanent Supportive Housing Reduced Pennsylvania Medicaid Beneficiaries’ Spending By 13% Per Person

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Iowa Inadequately Monitored Its Medicaid Health Home Provider Organizations

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CMS Issues Recommendations To Re-Open Health Care Systems In Areas With Low Incidence Of COVID-19

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President Signs Bill To Allocate More Funding To CARES Act Loan & Relief Programs

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California Creates $75 Million Fund To Provide Stimulus Money To Undocumented Immigrants

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75% Of Correctional Facilities Report Staff Have Adequate Personal Protective Equipment For COVID-19

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Feds Will Not Enforce Use Of HIPAA-Compliant Telehealth Platforms During The Pandemic Crisis

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HHS Finalizes Strategies To Reduce Regulatory & Administrative Burden Of Using EHRs

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Medicaid Expansion Associated With 9.7% Drop In Opioid-Related Hospitalization

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FDA Guidance Update: Digital Health Devices For Treating Psychiatric Disorders During COVID-19 Public Health Emergency

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Medicare Further Expands Telehealth Access For Long-Term Care, Hospice & Home Health Benefits

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Navigators Cut Emergency Visits & Hospitalization For High-Risk Health Care Consumers

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RFA Pre-Release Puts In Question Number Of North Carolina Tailored Behavioral Health Plans To Be Awarded

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Paid Sick Leave & Expanded Family Leave Due To COVID-19

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Metrocare & North Texas Behavioral Health Authority Reach Contract Agreement Contract Following Rate Dispute

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Families First Coronavirus Response Act Signed With $3.47 Billion In Funding & New Mandates

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34 States Approved For Medicaid 1135 Waivers During COVID-19 Public Health Emergency

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Mayo Clinic Minnesota & Cleveland Clinic Earn Top Hospital Rankings

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Joint Commission Releases New Enhanced Addiction Standards For Behavioral Health

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FTC Blocks Merger Between Philadelphia Hospitals To Prevent Consolidation In The Inpatient Rehabilitation Market

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HHS Begins Releasing $100 Billion CARES Act Funding To Provider Organizations For Relief Assistance & Treating The Uninsured

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Behavioral Health Spending Increased By 2.7% Per Year Between 1996 & 2016

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Average U.S. Cost Per Inpatient Day In A Hospital Was $2,260 In 2018

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Massachusetts Reaches Insurer Agreements To Settle Mental Health Parity Violations

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Humana Medicare Advantage Plans To Pay Providers To Address Social Determinants Of Health

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DEA Proposes Allowing Federally Certified Opioid Treatment Programs To Operate Mobile Units Without A Separate Registration

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South Carolina Updating Qualified Provider Organization List For Community Beds For People At High Risk For Hospitalization

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VA Proposes Expanding The Program Of Comprehensive Assistance For Family Caregivers

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COVID-19 Could Raise Medicare Spending By As Much As $115 Billion Over Next Year

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Law Enforcement Using Electronic Health Data To Aid In Physician Investigations

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States Use Multiple Legal Authorities To Use Medicaid To Pay For Behavioral Health Treatment In IMDs

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CMS Denies New York’s Request For $8 Billion In Medicaid Waiver Funds To Continue The DSRIP

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CDC Issues Interim Workplace Safety Practices For Critical Infrastructure Workers Exposed To COVID-19

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California Launches Project Roomkey Initiative To Secure Hotel & Motel Rooms To Protect Homeless Individuals From COVID-19

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Federal 2021 Budget Proposal Includes Provisions To Expand Behavioral Health Services

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Oklahoma Submits State Plan Amendment Seeking To Expand Medicaid

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Michigan To Create A Statewide 24/7 Mental Health Hotline

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DOJ Finds Maine Violates ADA By Limiting Access To HCBS

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Primary Care Physician Practices Needed A Median Of 8.2 Months To Report Electronic Clinical Quality Measures

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Reentry Interventions Are More Successful When They Address Dynamic Risk Factors

Community reentry following incarceration is more likely to be successful if the reentry interventions address dynamic factors that affect the …

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New ADHD Clinical Guidelines Recommend Psychosocial Supports As Essential Treatment, In Addition To Medication

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Suicide Accounted For 31% Of Jail Deaths & 6% Of Prison Deaths In 2016

In 2016, suicide accounted for 30.7% of all deaths in local jails (333 of 1,071 deaths), and 6.2% of all …

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Almost 50% Of Hospitals Use Information Received Electronically From Outside Their Health System

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California DHCS Reorganizes Behavioral Health Functions

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BlueCross BlueShield & Value Network Partner To Start Behavioral Health Value-Based Payment In Western New York

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Consumers Struggle To Use Health Portals & Obtain Digital Records

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Michigan Ceases Enforcing Community Engagement Requirements On Medicaid Expansion Members

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Cannabis: Potential Risks & Benefits In Mental Health

How might the use of marijuana or its components affect behavioral or physical health? During this webinar, Joseph McEvoy, MD, …

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25% Of Provider Organizations Have Revenue Tied To Value-Based Payments

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Kentucky Medicaid Rebids Its MCO Contracts

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Private Equity Firms Acquired 355 Physician Practices From 2013 To 2016

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Denver Strategic Framework For Improving Behavioral Health Calls For Greater Use Of Data To Guide Policy

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Most Health Centers Use Telepsychiatry As An Adjunct To In-Person Care

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Out-Of-Network Primary Care Associated With Higher Medicare ACO Costs

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Well Being Trust Urges Changes To U.S. Behavioral Health Policy To Improve Assessment & Access To Care

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Oregon Launches Family Connects Program To Improve Infant & Maternal Health

On February 13, 2020, the Oregon Health Authority (OHA) launched Family Connects to offer universal home visiting services to all …

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Circuit Court Rebukes HHS Approval Of Medicaid Work Requirements

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Texas DFPS Adult Protective Services Caseworker Turnover Drops From 25% To 20%

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Number Of Nurse Practitioners Doubled Between 2010 & 2017

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COVID-19 Resource & Information Guide

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Mental Health In The COVID-19 Era

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A Snapshot Of Telemedicine In One State: Clinical & Payer Implications

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Deals In U.S. Health Care Service Sector Down 1.5% From 2018

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Behavioral Health Care M&A Volume Slowed 21% Between Third & Fourth Quarter Of 2019

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Sarpy County, Nebraska Planning New Jail With Space For Mental Health Resources

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14.6% Of Adult Emergency Department Visitors In 2016-2017 Were Prescribed Opioids At Discharge

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Colorado Proposes Bill To Reimburse Behavioral Health Peer Support Professionals

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California Prisons Roll Out Integrated Addiction Treatment Programs

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Oklahoma Announces SoonerCare 2.0 Medicaid Plan, An Alternative Medicaid Expansion

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Residential Care Will Need To Fill 1.2 Million Direct Care Jobs Over A Decade

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Los Angeles Launches Pilot Entrepreneurship Program For People With Housing Insecurity Or Homelessness

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Vigo County, Indiana To Build New 500-Bed Jail To Resolve Litigation About Overcrowding & Poor Conditions

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New York Excellus Blues Finds Behavioral Health Accounts For One-Third Of 2019 Telemedicine Claims

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Hospitals Spent $2.5 Billion On Social Determinant Programs From 2017 To 2019

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20% Of Emergency Departments Use Telepsychiatry, 59% Use Only Telepsychiatry For Emergency Services

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New Mexico Settles With Final Five Behavioral Health Organizations Over 2013 Medicaid Fraud Allegations

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Telepsychiatry-Enabled Perinatal Integrated Care Improves Consumer Access & Engagement With Behavioral Health

The first-known telepsychiatry-enabled model of perinatal integrated care resulted in a 100% perinatal/postpartum depression screening rate, and a higher than …

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New Federal Coronavirus Bill Waives Medicare Telehealth Restrictions

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Blue Cross NC Launches New Value-Based Payment Model For Behavioral Health

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Assisted Living Administrator Salary Averaged $100,000 In 2019

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Arizona Medicaid & Health Plans Launch Initiative To Build Long-Term Care Workforce

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Texas HHS Expands Pilot Program To Provide Resources For Opioid Overdose Survivors

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EHR Vendor, Epic & 60 Health Systems Urge HHS To Modify Proposed Interoperability Rule

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Georgia Submits Medicaid Expansion Waiver With Mandatory 80-Hour Per Month Community Engagement Requirements

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16 States Allow Home Care Aides Only 40 Hours Per Week To Avoid Violating The DOL Home Care Rule

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Former Outcome Health Employees Charged In Alleged $1 Billion Fraud

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VA Proposes Rule For Faith-Based Organizations

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2% Of Eligible Clinical Professionals Participating In MIPS In 2018 Received A Negative Rate Adjustment

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Can Early Intervention’s Effect On Lifetime Costs Of Serious Mental Illness Be Measured?

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States Collectively Spend 17% Of Their Revenue On Medicaid, A 41% Increase In 17 Years

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Cascadia Behavioral Healthcare’s Integrated Model Cut Potentially Preventable Emergency Department & Inpatient Utilization By 18%

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Cigna Reports Combined Medical, Pharmacy & Behavioral Benefits Reduces Annual Costs By More Than $207 Per Covered Life

Cigna reports its commercial members with integrated medical, pharmacy, and behavioral benefits had annual medical costs of averaging $207 less …

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Navajo Corporation Plans To Contract With Molina Healthcare For A New Mexico Medicaid Indian Managed-Health Care Entity

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BCBS Of Michigan & Seven Provider Networks Announce Plan To Share Health Care Financial Risk

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87.8% Of Workers With Disabilities Had Health Insurance In 2017

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Indiana Medicaid To Reimburse For Short-Term IMD Services

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PsychU 360 Magazine

PsychU 360 – January 2020

Despite vast improvements in diagnosis and treatment over the last half-century, mental illness is underdiagnosed and …

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Leveraging Digital Technology For Better Mental Health Care

Despite vast improvements in diagnosis and treatment over the last half-century, mental illness is underdiagnosed and undertreated.
The reasons are many …

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The Health Plans Have It!

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Half Of U.S. Population Projected To Have Obesity By 2030

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FCC Unanimously Approves ‘988’ As National Suicide Prevention Hotline

On December 12, 2019, the U.S. Federal Communications Commission (FCC) unanimously approved “988” as the official phone number for suicide …

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Innovations In Mental Health Service Delivery & Implications For Providers

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Innovations In Mental Health Service Delivery & Implications For Providers

New technologies, changing reimbursements, and corporate consolidations are amongst the many drivers evolving the health care landscape.1 During this webinar …

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Health Spending Reached $11,172 Per Person In 2018

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Telepsychiatry: Implementation & Best Practices

Dr. Mehdi Qalbani discusses his experience providing telepsychiatry in the Information Age. Topics include regulatory concerns, practice guidelines, and web-side …

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Michigan Sued Over Planned Medicaid Work Requirements

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Tennessee Medicaid RFI For Managed Care Re-Procurement Closed; RFPs Likely in 2020

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HHS Finalizes Hospital Price Transparency Rules & Proposes That Insurers Share Network Prices

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North Carolina Suspends Transition To Medicaid Managed Care

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New York To Extend Medicaid Coverage To Incarcerated Individuals 30 Days Prior To Release

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Medicare Enrolling Opioid Treatment Programs For New Bundled Payment Program

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CMS Approves D.C. Medicaid Payment For IMD Services

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Health Plan Innovations In Population Health Management For Complex Consumers

Following-up to the 2019 Trends In Behavioral Health: A Population Health Manager’s Reference Guide On The U.S. Behavioral Health Financing …

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Health Plan Innovations In Population Health Management For Complex Consumers

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11.8% Poverty Rate In 2018, Down 0.5 Percentage Points

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Michigan Cancels Behavioral Health Integration Pilots

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Census Bureau Survey Undercounts Medicaid Beneficiaries

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Arizona Medicaid Adds Benefits For Non-Emergency Ridesharing

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73 Million Americans With Commercial Health Insurance Live In Highly Concentrated Markets

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Federal Court Ruling Clears The Way For Philadelphia Supervised Injection Site

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Sam’s Club Launches Health Care Pilot Program For Members

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State Up-Front Costs To Administer Medicaid Work Requirements Range From $6 Million In Vermont To $271 Million In Arkansas

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91.5% Of U.S. Citizens Had Health Insurance Coverage In 2018

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Federal Judge Rules Mississippi’s Mental Health System Discriminates Against People With Serious Mental Illness

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Kaiser Reaches Tentative Agreement With Unions For Physical Health & Other Job Classes, But Not Union For California Behavioral Health Professionals

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New Medicare, Medicaid & CHIP Fraud Prevention Rule Will Penalize For Prior Affiliations With Banned Provider Organizations & Individuals

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U.S. Social Service Expenditures On Par With Other OECD Countries

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SAMHSA Proposes Changes To Addiction Treatment Privacy Rules

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Individuals With Two-Year Medical Coverage Gap Twice As Likely To File Bankruptcy

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35% Of People With Chronic Illnesses Struggle To Pay Bills

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Medicare Part D Out-Of-Pocket Maximum Set To Increase By 25% In 2020

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Nevada Submits Medicaid State Plan Amendment To Transition CCBHC Funding To Traditional Medicaid

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Medicare Fee-For-Service Spending For Primary Care Ranges From 2% To 5%

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U.S. Spends 5% To 7% Of Total Health Care Spending On Primary Care

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States’ Programs To Offset Long-Term Care Costs Need To Address Direct Care Workforce Issues

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Pennsylvania Executive Order Issued Focused On Reduction Of Institutional Care

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Missouri Medicaid To Continue Prospective Payments To 15 CCBHOs

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Connecticut Mental Health Parity Law Opens Access For Medications To Treat Addiction

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40 States & D.C. Have Expanded Telemedicine Coverage Or Reimbursement Since 2017

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Federal Appeals Court Reinstates ‘Patient Dumping’ Lawsuits By Nursing Home Residents

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Indiana Launches Medicaid Work Requirements

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Under Kentucky Medicaid Work Requirements, About 15% Of Non-Exempt Beneficiaries Would Fail To Meet Criteria

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The Growing Push For Medicaid ACOs

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CMS To No Longer Exclude Medicare ACOs From BPCI Advanced Savings

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Nevada Passes Justice Reinvestment Bill To Address Behavioral Health Needs & Reduce Recidivism

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When Is Medicaid Expansion Not Expansion?

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How To Build Effective Programs That Meet Payers’ Focus On Social Determinants Of Health: Will The New Codes Pave The Way? (SDoH Series Part 2)

The World Health Organization (WHO) defines Social determinants of health (SDoH) as “The conditions in which people are born, grow, …

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Kentucky Expands Medicaid Addiction Treatment Benefits

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Supreme Court Rules Against CMS In Medicare DSH Payment Case

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Virginia Legislative Audit Recommends More Time To Effectively Deploy STEP-VA Mental Health Initiative

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Presidential Order Requires Price Transparency For Hospital Services & Out-Of-Pocket Costs

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Tackling Health Care Workforce Challenges In The United States: Trends In NP Utilization In Primary Care

Background & Purpose
There are continuing challenges in both the primary care and mental health workforce that bar individuals from receiving …

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Nebraska Medicaid Demonstration To Allow Addiction Treatment In IMDs For More Than 15 Days

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Michigan DHHS Announces Delay In Pilot Of Integrated Physical Health Services & Specialty Behavioral Health Services

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Addressing Social Determinants: Impacting Health & Wellness Beyond Traditional Medicine (SDoH Series Part 1)

Social determinants of health (SDoH) – like socioeconomic status, education, neighborhood and physical environment, employment, social support networks, and access …

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Virginia Approves $7 Million Contract With G4S For Alternative Transportation For Crisis Mental Health

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New Federal Rule Allows Employers To Set Up Pre-Tax Health Care Accounts For Premiums & Out-Of-Pocket Costs

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2019 Trends In Behavioral Health: A Population Health Manager’s Reference Guide On The U.S. Behavioral Health Financing & Delivery System, 2nd Edition

The Second Edition of Trends in Behavioral Health: A Population Health Manager’s Reference Guide on the U.S. Behavioral Health Financing …

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VA Expands Private Provider Options For Veterans Under MISSION Act

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CMS Approves Ohio Medicaid Waiver To Add Work & Community Engagement Requirements

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North Carolina DHHS Failed To Monitor LME-MCO Performance

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Colorado Awards 7 Regional Behavioral Health Crisis Services Contracts To 4 Organizations

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CMS Final Rule Codifies Existing Policy On Step Therapy For Part D Protected Drug Classes

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28 Health Systems Participating In Medicaid Behavioral Health Transformation Project

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Utah Implements Limited Medicaid Expansion Plan

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States File Suit Over HHS Rule Prohibiting Medicaid Direct Payments For Benefits On Behalf Of Individual Home Care Workers

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American Addiction Centers Sues NAATP Over Ban On Buying Google Ads

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CMS Approvals Of Medicaid Waivers Lack Consistency & Transparency

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Tennessee To Seek Medicaid Block Grant

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Only Four States Have Essential Health Benefits Benchmark Plans That Meet PPACA Standards For Addiction Treatment

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Overdose Deaths In California Prisons Up 160% In Four Years

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Washington State To Create ‘Public Option’ Health Insurance Plan

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Washington State To Launch Behavioral Health System Transformation

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HHS Issues Final Rule Strengthening ‘Conscience’ Protections For Health Care Workers

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Health Plans & Social Services—The Current Craze Or Permanent Shift

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Corizon Health Expands Pilot Inmate Medication-Assisted Opioid Use Treatment Program

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Medicaid Expansion Results In Fewer Addiction-Related Deaths

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Federal Court Rules Maine County Jail Must Provide MAT Maintenance Treatment

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Illinois Considering Medicaid Health Plan Legislation

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North Carolina Issues Final Guidance On Nine Consumer Categories Automatically Included In The BH/IDD Medicaid Managed Care Tailored Plans

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NIH Launches $353 Million Effort To Cut Opioid Overdose Deaths

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Opioid Clarity?

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CMS To Review Presumptively Institutional HCBS Settings With Greater Scrutiny

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Webinar Summary – National & State Behavioral Health Systems: Changes on the Horizon

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National & State Behavioral Health Systems: Changes On The Horizon

Over the past two years, legislative changes have had a significant impact on the behavioral health industry landscape, particularly in …

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Federal Judge Blocks DOL Regulations For Association Health Plans For Small Business & Self-Employed

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CMS Finalizes Expanded Medicare Advantage Telehealth Benefit Policies

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Will Changes In Stark Law Speed Up Value-Based Reimbursement?

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Ruling Stands: Homeless Cannot Be Punished For Sleeping Outside In The Absence Of Adequate Alternatives

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Overcoming The Virtual Health Paradox

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Why Clinical Guidelines Matter More With Risk-Based Contracting

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Benefits & Challenges Of Smartphone Use In Mental Health

Pew Research Center statistics indicate that 95% of Americans now own some type of cellphone, and that 77% are smartphones.1 …

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States Must Use Electronic Visit Verification By January 1, 2020 For Medicaid Personal Care Services

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Is There Value In Staffing Ratios?

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Addiction Treatment Provider Organizations Sue Anthem Over Direct Consumer Reimbursement

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Experiencing Whiplash From Medicaid Work Requirements?

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Ohio Governor Announces Plans For 30 Additional Specialty Docket Courts For Mental Health & Addiction Treatment

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CMS Proposed Rules Require New Consumer Data Sharing

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Changing Medicaid Retroactive Eligibility & Charitable Care Policy

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Louisiana Department Of Health Releases Plan To End Overuse Of Nursing Homes For People With Serious Mental Illness

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Managing The New Medicaid Work Requirements

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Judge Rules United Behavioral Health Medical Necessity Criteria More Restrictive Than Accepted Standards

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Maine Has Highest Percentage Of Individuals With Cognitive Disability Living In the Community, D.C. Has Lowest

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FTC Complaint Accuses Facebook Of Revealing Private Health Information From Closed Groups

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Pennsylvania Sues UPMC Over Alleged Behavior Violating State’s Charity Laws

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U.S. Attorney’s Office Sues To Prevent Philadelphia Supervised Injection Site

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Do States Still Have Medicaid Behavioral Health Carve-Outs?

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Pennsylvania Fines Aetna $190,000 Over Coverage Violations Involving Autism & Addiction Treatment

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Proportion Of Non-Elderly Adults Without Insurance At 8.2% In Medicaid Expansion States & At 14.9% In Non-Expansion States

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New York Sued Over Practice Of Keeping Offenders With Mental Illness Incarcerated Past Their Release Dates

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Missouri DHSS To Update Medicaid HCBS Level Of Care Criteria

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Medicaid Programs In 49 States & D.C. Reimburse For Telemental Health

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CMS Approves Arizona’s Medicaid Work & Community Engagement Demonstration Amendment

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New California Governor Orders Medi-Cal To Move Pharmacy To FFS Carve-Out Model

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From June To November 2018, 17,000 People Lost Arkansas Medicaid Benefits Over Failure To Meet Work Requirements

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In California Commercial Health Plans, The 25 Most Frequently Prescribed Drugs Account For 43% Of Drug Spending

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Medicare Modifies Plans To Change Evaluation & Management Coding

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Most State Medicaid Programs Assign Preferred Status To All Opioid MAT Medications

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DOL Opinion Allows Pay For Home Health Aides To Vary Weekly As Long As Meeting Minimum Wage Standards

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PPACA Open Enrollment Through HealthCare.gov Website Falls 4% From 2017, Totaling 8.4 Million Enrollees

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Missouri Launches Justice Reinvestment Initiative

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CMS Re-Approves Kentucky HEALTH Medicaid Waiver To Impose Work Requirements Starting April 2019

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CMS ‘Pathways To Success’ Medicare ACO Overhaul Limits ACO Time Without Risk

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Denver Approves Supervised Injection Site Plan; Feds Threaten Cities Over Plans

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In 2020, States Can Apply Health Insurance Subsidies To Short-Term & Association Health Plans

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Kentucky Reaches Settlement Agreement Regarding Services For Individuals With SMI

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Los Angeles County Agrees To Provide Discharge Services For All Offenders With Cognitive Conditions

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California Judge Orders Investigation Into Whistleblower Report Alleging That State Falsified Data On Timely Treatment

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New Hampshire Proposes $24 Million Mental Health System Transformation With Greater Central Accountability & Oversight

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CMS Proposes Changing Oversight Regulations For Medicaid & CHIP Managed Care Plans

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CVS Health Completes Aetna Acquisition

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American Hospital Association Sues CMS Over Final Site-Neutral Hospital Outpatient Clinic Payment Rule

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The Strategic Impact Of Addiction Treatment Legislation

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FDA To Update Clearance Procedures For Medical Devices

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The Changing Medicaid IMD Landscape & The Inpatient Behavioral Health Market

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Why New Medicare Rules For ‘Non-Medical Benefits’ Matter

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Medicare To Update Home Health Value-Based Payment Model In 2020

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Voters In Idaho, Nebraska & Utah Passed Ballot Measures To Expand Medicaid

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Federal Judge Sets Deadline For HHS To Clear Its Medicare Claims Appeal Backlog

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California Mental Health Service Act Amended To Provide Funding For Supportive Housing For People With Mental Illness

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Federal Judge Approves PTSD Veterans’ Benefits Lawsuit Against Military

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How Many Shelter Beds Are Enough?

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MACPAC Asks HHS To Pause Arkansas Medicaid Work Requirement Disenrollments

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Class Action Suit Alleges BCBS Of Massachusetts Improperly Denied Residential Mental Health Claims

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Medicare Advantage Plans Approved To Offer Expanded Non-Medical Supplemental Benefits

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New CMS IMD Rules Expand Medicaid Coverage Of Psychiatric Treatment Facilities

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Virginia Implements Medicaid Expansion On November 1

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HHS To Launch New Mandatory Bundled Payment Models

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Follow Up Q&A – The State Of The Union: A Critical Look At The Policy & Legislation Impacting U.S. Behavioral Health Care

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Webinar Summary – State Of The Union: A Critical Look At The Policy & Legislation Impacting U.S. Behavioral Health Care

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State Of The Union: A Critical Look At The Policy & Legislation Impacting U.S. Behavioral Health Care

Changes in delivery and reimbursement for mental health services were abundant in 2018, spurred by a combination of state and …

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The Growing Role Of Peer Providers: Challenges & Positive Progress In The Changing Practice Environment

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Low-Income Adults In Medicaid Expansion States Report Better Access To Health Care

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Disability Law Center Of Alaska Files Complaint Against State DHHS For Mental Health Evaluation Wait Times

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Illinois Implements Two Laws To Require Gender-Specific Programming For Female Prisoners

Illinois Governor Bruce Rauner passed two laws that require gender-specific programming for female prisoners and that mandate trainings for officers …

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Is 2019 The Year Of The Telehealth Tipping Point?

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Iowa Raises Medicaid Managed Care Reimbursement By 7.5% For 2019

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CMS Approves North Carolina’s 1115 Medicaid Managed Care Waiver, Ending The Behavioral Health Carve-Out

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Aetna To Sell Medicare Prescription Drug Business To WellCare

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CMS To Allow State Medicaid Plans To Cover Residential Addiction Treatment

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Medicare Proposes Additional Telehealth Benefits For Medicare Advantage Plans

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New Mexico To Transition To State-Based Health Insurance Exchange In 2021

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New Federal Laws End ‘Pharmacy Gag Clauses’ Allowing Pharmacists To Disclose Medication Options

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New Jersey Transfers Division Of Mental Health & Addiction Services From DOH Back To DHS

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California Implementing Comprehensive Maternal Mental Health Requirements

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32 States Lack Statutes To Enforce Behavioral Health Parity

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Homeland Security Issues Rule Penalizing Legal Immigrants For Use Of Medicaid & Food Stamps

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Tackling Behavioral Health Provider Shortages: Health Plan Strategies From Access To Engagement

Given the growing demand and shrinking availability of clinical professionals – both psychiatrists and allied health providers such as social workers …

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Community Tenure Over 60% After Release For Those ‘Not Guilty By Reason Of Insanity’

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Congress Sends SUPPORT Act Addiction Treatment Bill To President

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New California Addiction Treatment Laws Will Change Standard Of Care, Prohibit ‘Patient Brokering’ & Require Greater Transparency

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CMS Approves Prior Authorization & Step Therapy For Part B Drugs Under Medicare Advantage

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Federal Appeals Court Prohibits Arresting Homeless People For Sleeping In Public When Shelter Beds Are Insufficient

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Pennsylvania Supreme Court Upholds Governor’s Order Allowing Collective Bargaining For Home Health Care Workers

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Rhode Island Insurance Commissioner Finds Blue Cross & Blue Shield Parity Non-Compliant

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Medicare SNF Final Rule Increases Skilled Nursing Rates By $820 Million

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CMS Approves Wisconsin Waiver To Create A $200 Million Reinsurance Program To Lower Health Insurance Exchange Premiums

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PPACA Medicaid Expansion Linked To Decline In ICU Stays

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Maine Supreme Court Orders Medicaid Expansion To Go Forward

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CMS Approves Illinois’ Medicaid Updated Hospital Assessment Plan

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Inadequate Health Insurance May Affect Perceived Health & Cause Mental Distress

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CMS Advances Demonstration To Waive Clinician MIPS Requirements In Certain Medicare Advantage Plans

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Medicaid Penalties For States Over Electronic Visit Verification Delayed One Year

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How Does Your State Medicaid Program Stack-Up On Behavioral Health?

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Illinois Medicaid To Launch Integrated Health Home Program In October 2018

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CMS Finalizes ‘Promoting Interoperability’ Rule For Hospitals

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Arkansas Medicaid Launches New Three-Tier Outpatient Behavioral Health Benefits

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Washington Medicaid Waiver Approved With Payment For IMDs For Addiction

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New Complications In The Complex World Of Health Insurance

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New Hampshire Implementing Health Insurance Network Adequacy Rules With Specific Provisions For Behavioral Health

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Webinar Summary – An Update From NCQA©: Focusing On HEDIS® Behavioral Health Measures

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Is Involuntary Commitment The Right Solution For The Opioid Crisis?

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Social Impact Bonds—A Performance Update & An Opportunity

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North Carolina Revamps Involuntary Commitment & Behavioral Health Crisis Services

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More Than 7,000 People Fail To Meet Arkansas Medicaid Work Requirement

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Name The Ten States With No Medicaid Managed Care! The Quirks Of The U.S. Managed Care Map

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6% Of Adult Medicaid Enrollees Likely Affected By State Work Requirements

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Trump Administration Proposes Federal Reorganization Of Health & Social Services

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DOL Finalizes Rules For August Launch Of Association Health Plans For Small Businesses & Self-Employed

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Nebraska Courts Prohibited From Denying Parental Custody Based On Disability

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Counting Behavioral Health Workforce Shortages In New Mexico: A Case Study In Policy

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New Jersey Launches NJ ABLE Tax-Free Savings Program For Individuals With Disabilities

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Safety Net Spending Gains Since 1990 Have Gone To Families With Income Above The Poverty Level

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DOJ Will Not Defend PPACA Individual Mandate Or Pre-Existing Condition Rules

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Court Rejects Claim Of Improved Inmate Mental Health Care By Illinois Department Of Corrections

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The Beginning Of The End Of Parity

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Virginia Lawmakers Approve Medicaid Expansion

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Louisiana Agrees To Create Community-Based Mental Health Capacity To Reduce Nursing Home Use

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Kentucky Implementing Work Matters Task Force Recommendations

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Tennessee Eliminates Depression & Anxiety From TennCare ‘Episode Of Care’ Program

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Charity Care In The News Again

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Department Of Labor Issued 136 Citations For Health Plan Parity Violations In 2016 & 2017

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Feds Approve Illinois Expansion Of Medicaid Mental Health Coverage, State Prepares To Launch 10 Pilots

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VA Finalizes Telehealth Rule Allowing Health Care Professionals To Practice Across State Lines

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Feds Maintain 2015 Rule On Health Plan For Payments For Out-Of-Network Emergency Services

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Webinar Summary – Health Plan Population Health Management Strategies: How Policy Affects Serving Complex Members

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Health Plan Population Health Management Strategies: How Policy Affects Serving Complex Members

Care for individuals with behavioral health conditions typically costs 2-3 times as much, on average, as care for individuals without …

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Arizona Governor Signs Legislation Supporting Hyperbaric Oxygen Therapy For Veterans With TBIs & PTSD

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Feds To Focus On Enforcing Compliance With Parity Law

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San Francisco Shifts Mental Health Conservatorship From District Attorney To City Attorney

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Changing EHR Regs Spell Strategy Adjustment

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Medicare To Require Hospitals To Post Standard Charges Online

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California’s ‘No Place Like Home’ Program Faces Legal Challenge To Use Of Mental Health Services Act Funding

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Mississippi Medicaid Submits Waiver To Impose Work Requirements On Caretaker Adults

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Colorado Passes Bills To Address Jail Behavioral Health

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California Rules Non-Profit Hospitals In Mergers Must Meet Charity Care Obligations

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CMS Proposes Changes To ‘Meaningful Use’ To Shift Emphasis To Interoperability

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Federal Funding Bill Includes Mental Health Service Funding For Veterans With Other-Than-Honorable Discharges

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Utah Governor Signs Medicaid Expansion Bill

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CMS To Use Targeted Enforcement To Ensure Compliance With Final Rules For Medicaid Home Health Face-To-Face Visits

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Addressing The Social Determinants Of Health With Income Assistance

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Federal Court System Combines Lawsuits Against Opioid Manufacturers & Distributors; Recommends Settlement

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What Does The Farm Bill Have To Do With Health Care?

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Kindred Sues CMS Over Dual Eligible Claims Denial For Facilities Not Participating In Medicaid

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2018 Appropriations Bill Has $3.6 Billion In Opioid-Related Provisions

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New Iowa Law Expands Access To State Mental Health Services

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Patrick J. Kennedy Speaks Out About Mental Health Parity: An Interview Series

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ParityRegistry.org – Uniting The Mental Health Community & A Vessel For Accelerated Change (Part 4)

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Understanding The Mental Health Parity & Addiction Equity Act Through The Lens Of The Civil Rights Movement (Part 1)

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A Decade Of Leadership In Mental Health Policy (Part 3)

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Equal Treatment For All – Activating The Base & Holding Stakeholders Accountable To Protect Patient Rights (Part 2)

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Federal Regulators Cite The University Of Maryland Medical Center For ‘Patient Dumping’

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Rate Of Uninsured Opioid-Related Hospitalizations Fell From 13.4% To 2.9% Following Medicaid Expansion

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The Privacy Rule For Addiction Treatment Is Final

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The State ‘Crazy Quilt’ Of Opioid Treatment Policy

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Alaska Medicaid Preparing RFP For Statewide Medicaid Behavioral Health ASO

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Bipartisan Budget Act Included The CHRONIC Care Act, Expanding Medicare Telemedicine, Home Care, & Value-Based Care

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The State Of Mental Health In America In 2018: An Interview With Paul Gionfriddo

Mental Health America (MHA), a leading nationwide nonprofit organization dedicated to promoting the mental wellness of all Americans, has released …

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The Collision Of Food Policy & Health Care Costs

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Residential Addiction Treatment—The Opportunity In Changing Medicaid Policy

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Connecticut Sued For Failure To Provide Timely Discharge From Civil Commitment

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New Hampshire Psychiatric Boarding In Emergency Departments Increased Between 2015 & 2017

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Don’t Forget Medicare Specialty Health Plans in Your Strategy—They’re Here to Stay

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Pennsylvania DHS Says Hospitals Must Notify Consumers Of Charity Care Status

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42 States Require Health Care Professionals To Notify Child Protective Services About Substance-Exposed Infants

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Connecticut Supreme Court Allows Consumers To Sue Provider Organizations Over HIPAA Violations

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GAO Advises CMS To Adopt Stricter Conflict Of Interest Requirements For Medicaid HCBS

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29 States Adopt Multistate Compact For Nurses Permitting Cross-State Telehealth Services

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Maine Launches Hospital Pilot To Connect Veterans To Behavioral Health Services

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Presidential Executive Order Issued To Expand Mental Health Care For Veterans

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Medicare Penalizes Group Of 751 Hospitals For High Rates Of Hospital-Acquired Conditions

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New Mexico Awards Medicaid Managed Care Contracts To Two Incumbents & One Newcomer

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Suspension Of Iowa Medicaid Integrated Health Homes On Hold

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Rhode Island ACLU Files Suit Over Terminations From Medicare Payment Program Without Notice

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Montana Proposes 3% Cuts To Medicaid Rates By March 2018

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Spending & Enrollment Growth Slow After Initial National Health Care Coverage Expansions

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Medicaid Expansion Is Associated With Improved Hospital Financial Performance

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SAMHSA Freezes NREPP Database Of Addiction & Mental Health Programs, Launches New Policy Lab

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Nearly 9 Million People Selected Health Insurance During 2018 Federal Open Enrollment: Down 4.8% From 2017

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In 2016, 15% Of Medicaid Beneficiaries Were In The Expansion Population & Accounted For 12% Of Total Medicaid Spending

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Federal Judge Rules That Pennsylvania Law On Involuntary Mental Health Evaluation Insufficient To Bar Gun Ownership

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More & Larger Health Care Databases Mean More Data Security Concerns

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Arizona Submits Request To Add Work Requirements To Medicaid Program

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FamilyCare, Oregon Medicaid CCO, To Close Following Failure To Settle 2018 Contract

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Michigan Medicaid Preparing To Pilot Integrated Behavioral & Physical Health Projects

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New SAMSHA Rule Clarifies Data Sharing For Addiction Treatment

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Molina Healthcare Of New Mexico Expands Pilot Program To Connect Incarcerated Members With Services Prior To Release

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Texas Issues RFP For STAR+PLUS Plans With Integrated MLTSS For Beneficiaries With Disabilities

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Behavioral Health Care More Likely To Be Out-Of-Network Than Medical Or Surgical Care

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Florida Appellate Court Says Hospitals Can Challenge Medicaid Rate Cuts

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New York City DHS Lacks Oversight On Homeless Shelter Spending

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Tennessee Failed To Monitor Status Of Consumers In I/DD Waiver

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North Carolina Department Of Health & Human Services Takes Over Operations Of Cardinal Innovations

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ACLU Of Oklahoma Sues State To Protect Funding For Medicaid Waiver LTSS

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Medical Licensure Questions & Physician Reluctance To Seek Care For Mental Health Conditions

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Medical Debt Accrual Down By 45% In States After Medicaid Expansion

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Judging, Not Judging: Trauma-Informed Courts

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Veterans Affairs Implements New Program To Speed Decisions On Disability Payments

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CMS Announces Changes To Medicaid Program Management

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Washington State Advocacy Group Creates Advance Directive Regarding Oral Feeding For People With Progressive Dementia

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MedPAC Calls For Repeal, Replacement Of MIPS

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California State Hospitals Sued Over Long Waits For Forensic Competency Evaluations

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Changes Proposed For PPACA Via HHS Rule Change On CSR Payments & New Presidential Executive Order

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Maine Voters Approve Medicaid Expansion Initiative; Governor Says No Action Unless The Legislature Fully Funds It

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Louisiana Medicaid Failed To Ensure MCO Behavioral Health Network Adequacy

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Review Finds Problems With Oregon Medicaid Consumer-Directed Home Care Services Program

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New Jersey Strengthens Inspections At Group Homes For People With Developmental Disabilities

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California Implements ‘Bill Of Rights’ For LGBT Long-Term Care Residents

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Judge Orders Maryland To Create Inpatient Psych Beds For Defendants With Mental Illness

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Texas Halts Plan For I/DD Managed Care Pilot, But Still Plans To Move LTSS For I/DD To Managed Care In 2020

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Feds Propose Giving States More Flexibility On Defining Essential Health Benefits

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Class-Action Trial Starts, Alleges United Healthcare Used Invalid Behavioral Health Level-Of-Care Guidelines

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ACLU Of Illinois Sues Chicago Police Department Over Handling Of People With Mental Illness

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CMS Cuts Promotion Of & Opportunities To Enroll In Health Insurance Marketplace

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Delaware Bans Organ Transplant Discrimination On The Sole Basis Of A Recipient’s Disability, Including I/DD

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Changing Accounting Rules & The Shift To Value-Based Reimbursement

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Disability Rights Iowa Sues Over Medicaid Managed Care Cuts To Disability Support Services

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California Medicaid Plans Propose Discontinuing Printed Provider Network Directories In Favor Of Digital Versions

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State Medicaid HCBS Policy Factors Often Limit Beneficiary Access To Assisted Living

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South Dakota Creates Fund To Speed Up Jail Mental Health Competency Evaluations

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CMS Issues New Guidance On Medicaid Managed Care Coverage Of Short-Term IMD Stays

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Alabama Medicaid Delays MLTSS Procurement

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Federal Judge Orders Illinois Compliance With Consent Decree To Fund Independent Living For Consumers With I/DD

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Wisconsin Governor Signs HOPE Bills To Combat Opioid Abuse & Addiction

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Federal Review Finds Maine Medicaid I/DD Provider Organizations Failed To Report Critical Incidents

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Does Federal Uncertainty Mean More Or Less Medicaid Managed Care?

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Be Ethical Or Be Regulated

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Federal Audit Of 8 HCBS Waivers In 4 States Finds At Least $176 Million In Unallowable Costs

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South Carolina Hospital AnMed Health Fined $1.3 Million For Failure To Properly Treat People In Psychiatric Emergency

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New Jersey Governor Proposes Moving Division Of Mental Health & Addiction Services To Health Department

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New Mexico Behavioral Health Audit Overpayment Estimates Now A Fraction Of Initial 2013 Estimates

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Blue Shield & Human Affairs International Sued For Denying Employee Dependent Behavioral Health Claims

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New Hampshire To Expand Mental Health Services For Residents

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Medicare Proposes To Move Home Health Payment From 60-Day To 30-Day Episodes

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Hawaii To Pay Caregivers Via Vouchers To Care For Elderly

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14.7 Million Working Americans Gained Health Coverage Under The Patient Protection & Affordable Care Act

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California Medicaid Managed Care Network Adequacy Regulations For Behavioral Health Released

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Federal Judge Rules Alabama DOC Fails To Protect Inmate Mental Health

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California Medicaid ER Visits Up 75% Between 2014 & 2016

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Illinois Pays First $740 Million To Clear $4 Billion Medicaid Claims & Capitated Payments Backlog

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Approval Of Alaska’s 1332 State Innovation Waiver Application

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The Next Wave Of Consumer Price Shopping For Health Care

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More Than 90% Of Uninsured Consumers With Behavioral Health Disorders Eligible For PPACA Subsidies

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Over 400 Health Care Professionals Charged For Committing $1.3 Billion In Health Care Fraud, Including Opioid Distribution

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Up To 1 In 3 Medicaid Expansion Enrollees Received Behavioral Health Treatment In 2014

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California Department Of Managed Health Care Again Cites Kaiser Permanente Failure To Provide Timely Behavioral Health Appointments

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Louisiana Lifts 12-Month Wait For Drug Felons To Receive Public Assistance When They Leave Prison

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CMS Proposes Changes For MACRA Year 2 To Ease Burden For Small, Independent & Rural Clinical Professionals

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New Florida Law Increases Penalties For Abusive Addiction Treatment Marketing

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Medicaid Cost For Autism – The Impact Of Special Education Funds

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Washington Medicaid To Cover ‘Store & Forward’ Telemedicine Dermatology Services

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The End Of Payment Reform – The Beginning Of Payment Cuts

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Trump Administration Taps Brenda Fitzgerald To Lead The Centers For Disease Control & Prevention

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Texas To Require ABA Professionals To Obtain Licenses

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MedPAC Recommends Medicare Redesign Upcoming MIPS

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Trump Nominates Indiana Doctor As New Surgeon General

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Ohio Medicaid Launching New Behavioral Health Coding & Billing On January 1, 2018

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CMS Lifts Sanctions, Clears Cigna To Resume Selling Medicare Plans

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Denver Officials To Investigate 876 Abuse Cases Involving Seniors & Intellectually/Developmentally Disabled

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Washington State To Implement New Applied Behavior Analysis Credential Requirements

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Nebraska Combining Adult & Child DD Waivers

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Lawsuit Alleges North Carolina Neglected Needs Of People With Intellectual/Developmental Disability

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Wisconsin Seeks To Amend Waiver To Require Drug Screening & Testing For Medicaid Eligibility

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CMS Further Delays Bundled Payment Implementation, Expansion To January 2018

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Pennsylvania Releases Draft Organizational Plans For Integrated Department Of Health & Human Services Launching July 2017

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Oregon Lagging On Medicaid Eligibility Verification For Approximately 86,000 People

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Network Adequacy Doesn’t Equal Consumer Access

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How Will The 21st Century Cures Act Affect Behavioral Health?

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Alabama Enacts Broad Autism Insurance Mandate

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Massachusetts Supreme Court Rules Parole Planning Must Address Parolee Disabilities

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Federal Court Strikes Down Wisconsin Law That Allowed For Detention Of Pregnant Women For Alleged Substance Use

On April 28, 2017, a federal court ruled that a Wisconsin law intended to protect unborn children from harm from alcohol …

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Two Mental Health Crisis Treatment Bills Head To Oregon Governor For Signature

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62% Of Military Discharged For Misconduct Were Diagnosed With Mental Illness Or Traumatic Brain Injury

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New Indiana Law Allows Foster Youth To Remain On Medicaid Through Age 26

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Oregon DOC Fails To Improve Conditions For Inmates With Serious Mental Illness

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Illinois Senate Approves $15 Hourly Wage For Developmental Disability Direct Support Care Professionals

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CMS Gives States Until 2022 To Meet Medicaid HCBS Setting Standards Of Care

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Florida DOC Cancels Wexford Health Sources Contract Over Inadequate Prison Mental Health Care Services

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Massachusetts Audit Identifies $193 Million In Improper Medicaid Payments Over Five Years For Behavioral Health

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Iowa Law Establishes Health Plan Step-Therapy Override; Medicaid Exempted

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Guam Behavioral Health Sued For Contempt Over Failure To Gain CMS Accreditation

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Mississippi DMH Budget Caps Spending For ID/DD Home- & Community-Based Waiver

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New York Adopts New Juvenile Justice System, Raising Criminal Responsibility Age

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From An Extension Of Government Policy To Competitive Service Providers – The Strategy Evolution For Non-Profit Executives

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Michigan Legislative Panel Approves Financing Models For Integrated Care Pilot Projects

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State Medicaid Per Capita Spending For Non-Elderly Adults With Disabilities Averaged $16,000+, With $9,000 To $40,000 Range

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MACRA Likely To Cut Physicians’ Medicare Revenue

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Arkansas Proposing Medicaid Eligibility Change To Reduce Eligibility For 60,000 & Impose Work Requirements

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State Decisions To Expand Medicaid Did Not Change Size Of HCBS Waiver Waiting Lists

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Minnesota Opens Medicaid, Individual Markets To For-Profit HMOs

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Medicaid Expansion Possibly Reduced Prevalence Of ‘Medical Divorces’ Among Adults Age 50 To 64

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New Insurance Program Administrator Selected To Lead CHIP Program

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Judge Orders Oregon DHS To Restore In-Home Care Hours For Individuals With I/DD

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Minnesota Child Abuse Reports Involving Prenatal Opioid Exposure Up 25% Between 2015 & 2016

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New Hampshire DHHS Proposes Expanding Youth Psychiatric Treatment Beds At State Hospital

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States Make Autism Coverage For Children A Priority

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West Virginia To Add 600+ Addiction Treatment Beds

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Dealing With Stigma In Mental Health: Are We Making Progress?

Individuals living with mental health conditions can face significant stigma, not only from the public, but also from health care …

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Feds Approve New Jersey Community Care Medicaid Waiver Renewal, Expansion Of I/DD Services

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Supreme Court Rules Texas Must Apply Current Standards In Death Penalty Cases Involving People With I/DD

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Lawsuit Alleges Discrimination In Indiana’s Housing Requirements For People With I/DD

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Medicare Delays Expansion, Implementation Of Bundled Payment Programs

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Nevada Budget To Cut Mental Health Spending By 3.8% Across 2018-2019 Biennium

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12.1 Million People Enrolled In Individual Marketplace Plans During The 2017 Open Enrollment Period

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Alabama Medicaid Loses 5 Probationary RCOs, Offers New Regions To Remaining 3 Probationary RCOs

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Medicaid Eligibility & Work Requirements – Another Pending Strategy Issue

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The Medicaid Consumer Payment Debate

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EEOC Reports 4% Rise In Workplace Disability Discrimination Claims In Fiscal Year 2016

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Judge Approves Medicare Plan To Improve Communications About Criteria For Maintenance Therapy

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27% Of U.S. Under-65 Adults Have Pre-Existing Conditions Uninsurable Before PPACA

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Federal Appeals Court Overturns Florida Law Preventing Physicians From Discussing Gun Safety

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Colorado Marijuana Use Rates Have Not Changed Post-Legalization

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MACPAC Recommends Congress Extend Funding For CHIP Program Through 2022

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Oregon Fines Four Insurers For Denying Coverage For Autism Treatments

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The Challenge Of Insuring Consumers With Preexisting Conditions

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All State Medicaid Plans Cover Some Telemedicine Services

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Medicaid Waivers Help Parents Of Children With Autism Stay In The Workforce

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Ohio HCBS Waiver Amendments Add Employment Services To Adult Day Supports

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Health Care Provider Organization Consolidation Not Related To Medicare ACOs

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Medical Associations & EHR Vendors Seek Indefinite Delay Of Meaningful Use Stage 3

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Mental Health & Addiction Treatment Parity Is Smart – & Bipartisan

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Idaho Lawmakers Approve Update To Child Behavioral Health Rules

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New Jersey Enacts Insurance Mandate For Addiction Treatment

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Idaho To Move Child Behavioral Health Services To Medicaid

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Average Cost Of Health Services For Children With Autism Increased 19% Post Parity Implementation

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Pennsylvania To Create Department Of Health & Human Services, Consolidating Four Departments

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New York Legislators Urge Governor To Raise Rates For DD Support Provider Organizations

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Feds Release Final Rules To Address IDEA Disparities For Students With Disabilities

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GAO Review Of Managed MLTSS Finds Rate Setting Data Unreliable

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23 Of The 32 Medicaid Expansion States Charge Cost Sharing For Expansion Adults

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Utah To Move Ahead With Limited Medicaid Expansion

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What Does Minimum Wage Have To Do With Health Policy?

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Congress Unveils American Health Care Act As Potential PPACA Replacement

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Adults With Disabilities More Likely To Be Employed In Medicaid Expansion States

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District Of Columbia Released From 40-Year-Old Forest Haven Class-Action Consent Decree

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Cigna-New York Settlement To Remove Policies Denying Coverage For Neuropsychological Autism Testing

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White House Regulatory Freeze Delays HHS Rules, Including Sharing Addiction Treatment Records

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Ohio Legislature Considers Imposing Monthly Premiums On Medicaid Expansion Population

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Humana To End Commercial Individual & Patient Protection & Affordable Care Act Participation In 2018

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Oregon’s Medicaid Plan Renewed 5 More Years, Expands CCO Model To Dual Eligibles

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Arkansas To Reduce Developmental Disability Waiver Wait List By Half Over 3 Years

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75 Behavioral Health Provider Organizations In 8 States Prepare For CCBHC Demonstrations

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Ohio Medicaid Expansion Improved Employment Stability

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Follow Up Q&A – The MACRA Quality Payment Program: What Behavioral Health Care Professionals Should Know

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Webinar Summary – The MACRA Quality Payment Program: What Behavioral Health Care Professionals Should Know

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The MACRA Quality Payment Program: What Behavioral Health Care Professionals Should Know

The Quality Payment Program (QPP) was developed by the Centers for Medicare and Medicaid Services (CMS) as part of the …

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Following Reprocurement, Pennsylvania Selects New Medicaid Health Plans

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New Rule Aims To Have Disabled Individuals Comprise 12% Of Federal Workforce

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CMS Says States Cannot Compel Families To Provide Unpaid Supports Under Medicaid Community First Choice LTSS

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Michigan Legislation Creates Path To Professional License For Behavioral Analysts

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New Conditions Of Participation For Home Health Require Integrated Communication & Care Coordination

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Parity Is No ‘Magic Bullet’

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Aetna Acquisition Of Humana Blocked By Federal Judge

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Feds’ Audit Finds New Jersey Wrongly Claimed $95 Million In Medicaid Payments For Mental Health Services

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Children Under Age 18 Represent 51% Of Medicaid & CHIP Enrollment

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Opioid Addiction – The Crisis, The Impact & The Responses

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SAMHSA Updates 42 CFR Rules, Addiction Treatment Records Still Regulated Under Different Standards

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CMS Approves Arkansas Works, The State’s Non-Traditional Medicaid Expansion Program

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Foster Care Entries Due To Parental Substance Abuse Rise 19% Since 2009

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FDA Developing Requirements For Evaluation Of Tech-Enabled Clinical Algorithms

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Feds Say Louisiana’s Reliance On Nursing Homes For People With SMI Violates Civil Rights

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North Dakota Medicaid Plans To Align HCBS Waivers For Older Adults & Those With Physical Disabilities

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CMS To Harmonize Medicaid Personal Care Services Requirements Across Programs

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Pennsylvania Long-Term Care Council Appointments Announced

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State Budget Cuts Ahead? Be Deliberate In Your Preparation

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Management ‘Musts’ For Surviving The Turbulence Ahead

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The More Things Change, The More They Stay The Same

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Highmark Withdraws From 2017 PPACA Marketplace In 27 Pennsylvania Counties

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Medicare To Cover Costs For Individual Care Plans For Beneficiaries With Alzheimer’s & Their Families

In its final updates to the 2017 Medicare Physician Fee Schedule (PFS), the Centers for Medicare & Medicaid Services (CMS) …

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Massachusetts Medicaid Waiver Approved: State To Begin Transforming Integrated, Value-Based Care

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Ohio Legislature Passes Autism Insurance Coverage Mandate

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Tennessee Medicaid Delays ADHD Episode Of Care

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Nebraska Legislative Task Force Recommends Improvements To State’s Behavioral Health System

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52 Million Adults Have Medical Conditions That Were Uninsurable Before Obamacare

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Maryland DDA Improperly Collected Millions In Copayments From Developmentally Disabled Consumers

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Public Opinion Split On Repealing/Reforming PPACA

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Oklahoma Medicaid Releases SoonerHealth+ RFP For ABD Population

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New Hampshire Medicaid To Implement Managed Long-Term Services & Supports

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Adults With Developmental Disabilities Sue New York State To Expand Housing Opportunities

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Congress Passes 21st Century Cures Act, With Major Provisions For Mental Health Reform & Addiction Treatment Funding

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With The Future Of The PPACA, The Past May Be Prologue

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CMS Rejects New Hampshire Medicaid Request To Add Work Requirements

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Feds To Kansas: Halt Implementation Of New ‘Capable Person’ Policies For HCBS Waiver

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Indiana’s New Telemedicine Law Prohibits Remote Prescriptions For Opioids

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Half Of American Adults With Mental Health Problems Are Untreated

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Federal Government Approves $52.5 Billion Massachusetts Medicaid Waiver Deal

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Mental Health & Addiction Parity Laws Have Increased Equality In Insurance Coverage, But More Work Remains

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‘ObamaCare’ Premiums – A Little Context

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MACRA Final Rule Changes Reporting & Use Of Certified EHRs

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Feds Approve Washington State Medicaid Waiver With Implications For Behavioral Health

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Texas Medical Board Drops Appeal Against Teladoc Anti-Trust Lawsuit

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White House Releases Parity Enforcement Recommendations

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Ohio Medicaid Implementing ‘Payer Of Last Resort’ Rules For Behavioral Health

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Understanding The Role Of Social Determinants In Population Health Management

The Centers for Disease Control and Prevention define social determinants of health as economic and social conditions that influence the …

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Where Is Mental Health Reform In Congress?

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CMS Urged To Heighten Fraud-Prevention Controls For Medicaid Personal Care Services

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EEOC Files Bias Complaint On Behalf Of Disabled Workers In South Carolina

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MACRA: The Big Picture

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Court Grants Class-Action Status To West Virginia Lawsuit On Medicaid I/DD Budgets

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North Dakota Postpones New Rate Setting For I/DD Providers

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Armor Correctional Health Services Barred From New York Jails For 3 Years

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MACRA Finalized, Changes To Medicare Payment System Start January 2017

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The Future Of Medicaid Expansion – What Are The Facts & Do They Matter?

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New California Law Protects Sheltered Workshop Employees With Disabilities From Workplace Discrimination & Harassment

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Judge Says DOJ Lacks Standing Under ADA To Sue Florida Over Placing Children With I/DD In Nursing Homes

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Illinois Medicaid To Expand Children’s Access To Behavioral Health Services

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Behavioral Health Spending Reached $231.6 Billion In 2015. What Does That Mean?

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FTC Wins Appeal To Halt Penn State Hershey/Pinnacle Health Merger

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California Watchdog Agency Urges Stronger State Oversight Of Mental Health Services Act

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Health Care System Reform Needed To Support Family Caregivers

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U.S. Appeals Court Rules Ban On Gun Ownership Due To Mental Health Disorders May Violate Rights

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Average Monthly Premium Cost On Health Insurance Marketplace Plan Is $106; More Than 70% Of Consumers Pay $75 Or Less

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Medicare Ordered To Clarify Coverage of Maintenance Therapy To LTSS Providers & Beneficiaries

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Clinton Behavioral Health Policy Paper Pledges Support For Parity & Research

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Delaware Prison Officials Settle Class Action Lawsuit Over Solitary Confinement Of Offenders With Mental Illness

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Median Deductible Is $850 For 2016 Healthcare.Gov Marketplace Plans, Down From 2015

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Disability Rights Washington Files ADA Lawsuit Over State’s Failure to Place Individuals With I/DD In Community Living Arrangements

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DOJ Sues Mississippi For Discriminating Against Adults With Mental Illness

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Malvern Institute Sues Magellan, Alleges Mental Health Parity Violations

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Blue Shield Of California Sues CenCal Health Medicaid Program For Patient Cost Shifting

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Washington State Settles Lawsuit Challenging Restrictive State Hospital Policy On Grounds Privileges & Outings

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Here We Go Again – The 2016 Presidential Election Approaches

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Fraud Front & Center

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Pennsylvania Developing Formal Process To Certify Drug & Alcohol Recovery Houses

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New Ohio Legislation Allows Non-Nursing Medical Staff To Administer Medication & Services To Consumers With I/DD

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New Iowa Law Allows Psychologists To Prescribe Psychotropic Medications

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Missouri Law Requires Outsourcing Of Social Service Eligibility Determination

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New Hampshire Court Blocks AG’s Plan For Reporting Involuntary Mental Health Hospitalizations For Federal Firearms Background Check

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Comprehensive Addiction & Recovery Act – A Healthy Dose Of Skepticism Required

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Veterans Affairs Commission On Care Recommends More Private Options For Services

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New York Agrees To Redouble Efforts To Recoup Overpayments For Medicaid Mental Health Outpatient & Community Support Services From 2003 To 2012

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Paying For Value In Mental Health Services: Perspectives From The Field

The shift to value-based reimbursement for health care is soon to be the norm and the provision of mental health …

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The News That Moves The Needle – The New Rules

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MACRA – Who Are The Winners & Losers?

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Pennsylvania Budget Impasse Resulted In Service Cuts At 50% Of Social Service Organizations; 75% Borrowed Operating Funds

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Michigan Budget Revision Lays Out Path To Restructure Behavioral Health

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Americans With Disabilities Act Applies To Use Of Solitary Confinement For Disabled Inmates

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Oklahoma To Mandate Commercial Coverage Of Autism Services

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Virginia To Implement Medicaid DD Waiver Redesign On July 1, 2016

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Understanding The Opportunities In The I/DD Medicaid HCBS Wait List

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Georgia Agrees To Modified & Extended ADA Settlement Agreement For Developmental Disability System

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New DOL Regulations For Manager Overtime Go Into Effect December 1; Only Temporary Exemption For Small IDD Residential Facilities

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EEOC Rule Permits Employee Discounts For Wellness Activities Up to 30% of Health Plan Costs Without Violating ADA

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American Hospital Association Challenges IRS Denial Of Tax-Exempt Status To Non-MSSP ACOs

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Federal Judge Imposes Specific Deadlines On Rhode Island To Meet Terms Of 2014 Developmental Disability Consent Decree

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The Impact Of Integrated Health Homes On Mental Health Service Delivery

The Medicaid health home option was established under the Patient Protection and Affordable Care Act of 2010 and implementation began …

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Mental Health Parity Had Limited Impact On Utilization By Commercial Health Plan Beneficiaries With An SMI

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21% Of Primary Care Visits By Consumers Covered By Medicaid In Expansion States, Compared To 9.6% In Non-Expansion States

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Michigan’s Lt. Governor Forms Workgroup To Replace Budget Proposal To End Behavioral Health Carve-Out

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The Joint Commission Updates Suicide Prevention Guidelines, Recommends Greater Vigilance In Non-Acute & Acute Care Settings

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Medicaid Expansion Linked To Decline In Hospital Admissions & Decline In Uninsured Hospital Stays

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Alabama Corrections Agrees To Improve Conditions For Inmates With Disabilities

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Disability Rights Ohio Sues To End Segregation Of Institutionalized People With Disabilities

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New Maine Medicaid Policy Limits Most Mental Health Community Support Services To People With Schizophrenia Or Schizoaffective Disorder

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The Final Medicaid Managed Care Rules = Lots Of State Discretion

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CDC Adds About 1,900 New ICD-10 Diagnosis Codes; 19 Specific To Behavioral Disorders

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Substance Abuse Privacy Rules Could Be Changing

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White House Launches ‘The Opportunity Project’

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Florida Requires Recovery Residence Certification For Referrals From State-Licensed Behavioral Health Provider Organizations

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CMS Final Medicaid Parity Rule Released: All Plan Types Included

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Keeping Up With The New Developments In The Autism Market

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Louisiana DHH To Absorb $70 Million In Cuts To Close Current Year Budget Gap, Will Drop Safety Net Hospital Reimbursements By 1.5%

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South Carolina Medicaid Limits Mental Health Professionals Eligible To Deliver Rehabilitative Behavioral Services

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28% Of Uninsured Working Age Adults Have A Mental Health Or Addiction Disorder In States That Have Not Expanded Medicaid

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Los Angeles County Mental Health Court Reports 300% Increase In Competency Cases From 2010 To 2015

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Louisiana Plans To Use Food Stamp Data For Medicaid Enrollment

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New Mexico Enacts Legislation Enabling County Option For Court-Ordered Assisted Outpatient Treatment Act

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Court Rules Against New York’s NYC Safe Hub Program & Monitoring of People With Mental Illness

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Solid Landings Behavioral Health To Close Dozens Of Sober-living Facilities

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Should 42 CFR, Part 2 Be Aligned With HIPAA?

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New Mexico Attorney General Releases Final Behavioral Health Audits, Clears Teambuilders & Pathways Of Medicaid Fraud Allegations

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New Mexico Attorney General Says Medicaid Fraud Investigations Clear 12 Behavioral Health Provider Organizations; Two Investigations On-Going

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Michigan Governor Proposes To End Medicaid Behavioral Health Carve-Out

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Medicaid Expansion Increased Third-Party Payments For ‘Health Care For The Homeless’ Programs

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Washington State Commission To Create A New Agency For Child Welfare

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Tufts Health Plan Revises Autism Treatment Policies Following Settlement With Massachusetts Attorney General

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DOL Law Judge Orders Ohio Board Of DD Sheltered Workshop To Pay Minimum Wage

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The 340B Program: The Big Questions

Last week we covered the “rules” of the 340B Drug Discount Program (340B Program), which requires drug manufacturers to provide …

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Alabama Medicaid Moving To Risk-Based Regional Care Organizations

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North Carolina Legislature Cuts LME/MCO Budgets By About 10%; Requires Spending Out Of Reserves

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Minnesota Olmstead Initiatives Increased Access To DD Waiver Services

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Virginia Moves Ahead With Expanding & Improving Services For Residents With Mental Illness

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FDA Approves Medtronic Deep Brain Stimulation For People With Parkinson’s Disease With Recent Onset Of Motor Complications

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Unitedhealth Medicare Plan Must Cover U.S. Sex Reassignment Surgery

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CMS Proposes Shifting Medicare Shared Savings Program Performance To Regional Baselines

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Pennsylvania To Reduce Wait Times For Forensic Competency Restoration

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Updated Medicaid Home Health Rules Allow Face-To-Face Authorization Via Telehealth Services

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Five States Charge Adult Medicaid Beneficiaries Monthly Contributions Or Premiums

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Washington State Approves New 120-Bed Psychiatric Hospital In Tacoma

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New Hampshire Medicaid Waiver Project To Focus On Integrated Delivery Of Behavioral Health Care

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Connecticut Plans To Close Training School & Regional Centers & Move Residents To Private Community-Based Settings

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Medicare Launches Home Health Patient Experience-Of-Care Star Ratings

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How Prescription Drugs Are Affected By Changes In Healthcare Financing & Policy

Interview with Babette Edgar, PharmD, MBA, president-elect of the Academy of Managed Care Pharmacy, and the principal of BluePeak Advisors. …

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Bringing Innovation (& Risk) To Public Behavioral Health

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Iowa Medicaid To End Premium Assistance Medicaid Expansion Plans

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12% Of Health Care Professionals Terminated From One State Medicaid Program Continue Participating In Other States

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Medicare Creates Inpatient Psychiatric Facility-Specific Rate Setting For 2016, Labor Share Increases From 69% To 75%

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San Diego County Adopts Change To County Mental Health Grantee Cost Accounting For Psychiatric Services

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Milwaukee County, Wisconsin To Privatize Mental Health Complex

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Feds Approve California’s Medi-Cal Addiction Treatment Waiver

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Florida Public & Private Payers Are Implementing Strategies For Coordinated Care

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Walgreens Suspends Theranos California Lab After Medicare Report

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Kentucky Considering New Telemedicine Proposal To Cover Remote Patient Monitoring In 2016

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GAO Calls For Clarification Of DoD-VA Continuity Of Medication Policy For Mental Health Medications

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South Dakota Elder Abuse Task Force Recommends Revising Definition Of SMI To Exclude Dementia

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Federal Legislation Introduced To Expand Rights To Community Integration For Medicaid LTSS Beneficiaries

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Social Service Agency Slashes Programs, Shutters Intouch Adult Daycare

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Indiana Looks To Expand Health Care Coverage & Keep Down Costs

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Keeping Your Eye On The Ball – What Health & Human Service Information Matters In A Political Year?

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Tennessee Proposes Adding Supported Employment To Medicaid Managed LTSS Program

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HHS Finalizes Modification To HIPAA Privacy Rule Allowing Provider Organizations To Share Mental Health Information With FBI Database

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New York Medicaid Delays Statewide Launch Of Behavioral Health Home & Community Based Services For HARP Population

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Virginia Medicaid Plans To Implement Managed LTSS In March 2017

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New CMS Rules For Medicare Shared Savings Create New Higher-Risk ACO Track

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Texas To End NorthSTAR Managed Behavioral Health Medicaid Carve-Out

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HHS Charges Health Care Organization Governing Boards With Oversight Of Compliance

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CMS To Align Physician Quality Reporting System Program With Value-Based Purchasing

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Alabama Medicaid To Create At-Risk Long-Term Care Networks

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Feds Investigating Systemic Voting Rights Violations Against Californians With IDD

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CMS Finalizes Rules For Medicare Shared Savings Program

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New California Law Requires Hospitals To Increase Caregiver Involvement In Discharge Planning

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An Update On ABA & State Autism Coverage Mandates

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Institutionalized Adults With Autism Sue Pennsylvania Over Lack Of Appropriate Community-Based Services

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North Carolina Legislature Approves Medicaid Reform, Behavioral Health Carve-Out To End

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Meridian Business Says Cuts Will Hurt Disabled Services

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Fixing The Data Sharing Problem

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Tracking The Medicaid Expansion Bouncing Ball

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Missouri Considering Two New Telemedicine Proposals To Cover Remote Patient Monitoring In 2016

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Louisiana’s New Governor Expands Medicaid, Effective July 2016

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Florida Legislature Considers Allowing Pay-For-Success Social Service Programs

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Hawaii Launches Autism Insurance Mandate

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CDC Releases Draft Guidelines For Doctors To Reduce Painkiller Prescriptions

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Only 9% Of Americans Were Uninsured During First Half Of 2015 – All-Time Low

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Wellcare Files Suit In Iowa Over Terminated Medicaid Contract

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An Update On The State Medicaid Behavioral Health Carve-Out Landscape

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Veterans Choice Program Eligibility Changes Remove Barriers & Expand Access To Care

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Pennsylvania Legislative Analysis Recommends Consolidating The Five Residential Centers For People With Intellectual Disabilities

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11 States Increased State Mental Health System Funding From 2013 Through 2015

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Michigan Secures CMS Waiver To Continue & Modify Its Medicaid Expansion

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Idaho Cuts Medicaid Reimbursement For In-Home Care For The Developmentally Disabled

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Pennsylvania Court Rules Insurers Must Cover School-Based Applied Behavioral Analysis Under Autism Treatment Mandate

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The VA’s Troubles: A Mirror Of Our National (& State) Health Care Policy Problems

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42 CFR Part 2 Updates Would Improve Access To Care Without Compromising Patient Privacy

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Judge Says New Mexico Wrong To Withhold Medicaid Funds From The Counseling Center During Administrative Appeal Of Fraud Allegations

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Wait Times For Admission To Colorado Forensic Competency Evaluation Exceed Maximums Set By 2012 Settlement

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When Is A Juvenile An Adult?

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Justice Delayed Is Justice Denied

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2016 Medicare Physician Fee Schedule Rules Include Telehealth Codes For New Originating Sites

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Ohio DODD Implementing New Policies To Expand Community-Based Placements

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State Enforcement Of Federal Mental Health Parity Law Varies

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North Carolina Puts CenterPoint-Cardinal Merger On Hold Pending Clarifications Of State’s Medicaid Plans

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Is ICD-10 Another Path To Health Care Mergers?

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New Jersey Enacts New Oversight Regulations For Dementia Care Group Homes

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California & CMS Announce Conceptual Agreement On 1115 Waiver Renewal

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San Francisco County Implements Laura’s Law To Provide Involuntary Assisted Outpatient Mental Health Treatment

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New York & U.S. Department Of Labor To Share Information & Joint Investigations Of Self-Insured Employers Mental Health Parity Violations

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National Estimates Of Behavioral Health Conditions & Their Treatment Among Adults Newly Insured Under The ACA

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HHS Issues Rules To Improve EHRs With Added Simplicity

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Colorado Medical Board Adopts New Telehealth Guidelines

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Recovery Centers Of America Sues New Jersey Township For Denying Approval Of Treatment Facility

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Nevada Approves $400,000 Payment To San Francisco To Settle Dispute Over State Hospital Out-Of-State Patient Discharge Practices

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Lawsuit Charges State Of Minnesota Deliberately Underspent Medicaid Developmental Disability Waiver Funds

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Lawsuit Challenges Ohio Medicaid MCO Denials Of Autism Treatment

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Two Mental Health Bills Introduced In U.S. Senate

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What Mental Health Professionals Need To Know About ICD-10-CM

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Court Acts To Prevent Diversion Of Funds By Hill Country Farms To Avoid Paying ADA Settlement

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Federal Appeals Court Rules Third-Party Administrators For Self-Insured Companies May Be Sued For Mental Health Parity Violations

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Webinar Summary – Behavioral Health In The Era Of Value-Based Care: Improving Quality & Lowering Costs Through Population Health Management

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How Do States Manage The Sex Offender Population?

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Is It Time To Panic?

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Feds To Increase Effort To Reduce Medicare & Medicaid Billing Errors

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Alaska Medicaid Planning 75% Decrease In The Annual Number Of IDD Waiver Slots For Beneficiaries On The Wait List

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How Many Veterans Use The VA As Their Primary Form Of Health Care?

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California Sue