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The 12 Steps to Inclusivity in Mental Health Services (Part III)

From the 2019 Pew Research Center survey of over 25 countries on people view of diversity in their country, most …

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Making Integration Work – Think Change Management

Management thought leader John Kotter wrote in his book, Sense of Urgency, “More than 70% of needed change either fails …

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Children In Poverty More Likely To Have Smaller Brain Volume & Slower Growth, Linked To Cognitive & Behavioral Difficulties

Children living below the federal poverty level (FPL) are more likely to have cognitive and behavioral difficulties than their better-off …

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The 12 Steps To Inclusivity In Mental Health Services (Part II)

From the 2019 Pew Research Center survey of over 25 countries on people view of diversity in their country, most …

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People With MS & Depression More Likely To Die Over A 10-Year Period Than People With Neither Condition

People with multiple sclerosis (MS) and depression are more likely to die over a 10-year period than those with neither …

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The 12 Steps to Inclusivity In Mental Health Services (Part I)

From the 2019 Pew Research Center survey of over 25 countries on people view of diversity in their country, most …

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Florida Ends Certificate Of Need Requirements For Specialty Medical, Rehabilitation & Psychiatric Hospitals

On July 1, 2021, the Florida Agency for Health Care Administration (AHCA) stopped requiring a certificate of need (CON) review …

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Missouri Passes Reforms To Benefit & Assist Juvenile Inmates

On July 14, 2021, the state of Missouri passed measures to benefit and assist juvenile inmates. Senate Bill (SB) 26 …

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Integrated Treatment For Heart Failure & Depression Improves Quality Of Life

A telephone-delivered ‘blended’ model of collaborative care strategy that combined heart failure care management with depression treatment improved quality of …

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Where Is This All Going? What Are States Doing/Not Doing To Address Our Mental Health Crisis? Trends In Behavioral Health Financing Models & State Innovation

The beginning of this year marked the end of an era in health care financing. Horizontal carve-outs used to be …

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Do You Have The Data? Can You “Adapt?”

The executive team with the better data can make better decisions, assure better outcomes for consumers, improve staff and customer …

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Managing The 5%

There is a lot of investment money going into the mental health field—in fact, $14.7 billion in the first half …

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Schizophrenia Cost The U.S. $281.6 Billion In 2020; $62 Billion In Direct Costs

During 2020, the costs of schizophrenia in the United States was estimated at $281.6 billion. About 22% ($62.0 billion) of …

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During 2020, Overweight & Obesity Among Children Ages 5 Through 17 Rose To Over 40%

Between March 2020 and January 2021, the incidence of overweight and obesity among children ages 5 to 17 rose to …

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Illinois Enacts Medicaid Mental Health Network Adequacy Law

On July 23, 2021, Illinois Governor J.B. Pritzker signed legislation to require health insurers to ensure network adequacy for mental …

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Rhode Island To Pilot Safe Injection Sites

Rhode Island is planning to pilot harm reduction centers, also called overdose prevention sites or supervised consumption sites. This two-year …

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New Hampshire Medicaid To Cover Inpatient & Residential Treatment For Adults With SMI

The New Hampshire Department of Health and Human Services (DHHS) is planning to provide Medicaid coverage for short-term inpatient and …

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Children & Adolescents Experiencing Double The Rate Of Depression & Anxiety Due To COVID-19

During 2020, about 25.2% of youth globally experienced clinically elevated depression symptoms and 20.5% experienced anxiety. These rates are double …

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Average Signing Bonus For Psychiatrists Is $33,000

The average signing bonus for U.S. psychiatrists in 2021 is $33,000. Bonuses for psychiatrists range from $1,000 to $75,000. Across …

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Utah To Merge Departments Of Health & Human Services With Goal Of Integrating Physical & Behavioral Health

The Utah Department of Health (DOH) and the Department of Human Services (DHS) are planning to merge to become the …

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Managing Long Haul Burnout

In the midst of the current wave of COVID cases from the delta variant, there are many questions. Will the …

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Bridging Gaps in Behavioral Health Treatment: A Narrative Summary

Introduction

The Lancet Commission on Behavioral health and Sustainable Development called for a global partnership of governmental agencies, development agencies, non-profits, …

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Behavioral Health Disorders Among Top Five Causes Of Hospital Admissions In Adults Ages 18 To 44

Behavioral health disorders were among the top five causes of U.S. hospital admissions in adults aged 18 to 44, more …

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Dose Tapering Of Long-Term Opioid Pain Relief Linked To Rise In Overdose Events & Mental Health Crisis

Among people prescribed long-term high-dose-opioid treatment for chronic pain control who had been forced to taper down their doses, the …

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Idaho To Launch Implementation Of Nine Behavioral Health System Improvements, Full Details Expected By October 1, 2021

The state of Idaho planning to implement nine behavioral health care system improvements over the next three years to improve …

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Integrated Care Gets A Leg Up With Virtual First

Plugging into systems for integrated “whole person” care is increasingly an imperative for all provider organizations—whether they offer primary or …

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What’s Next For Consumers & Therapists? Less Choice, Fewer Offices, More Tech…

The pandemic has brought many changes that are top of mind for executive teams of health and human service organizations—new …

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Annual U.S. Deaths Due To Alcohol, Drugs Or Suicide Exceeded 156,000 In 2019

In 2019, 156,242 Americans died due to alcohol, drugs, or suicide, an average of 45.7 deaths per 100,000 individuals. This …

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Behavioral Health Telehealth Visits Increased 6,500% During The COVID-19 Public Health Emergency; Total Claims Up Slightly

Claims for behavioral health evaluation and management (E&M) telehealth visits increased by 6,500% from January 2020 to February 2021 in …

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2021 Trends In Behavioral Health: A Reference Guide On The US Behavioral Health Financing & Delivery System, 3rd Edition

The Third Edition of Trends in Behavioral Health: A Reference Guide On The US Behavioral Health Financing & Delivery System (The Guide) provides information and insights into the multi-layered United States behavioral health system.

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California Ends State Division of Juvenile Justice Admissions, Will Close All State-Run Facilities By June 2023

On July 1, 2021, the state of California ended most youth admissions  to the three state-run California Department of Justice …

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Illinois Medicaid To Cover New Behavioral Health Services

Under legislation, Senate Bill 2294, signed on July 6, 2021, the Illinois Department Healthcare and Family Services (HFS) will expand …

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Pennsylvania Expands Access To Caregiver Support Program

On August 10, 2021, the Pennsylvania Department of Aging (PDA) will implement a new law that expands caregiver access to …

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U.S. Drug Overdose Deaths Rose Nearly 30% In 2020

Drug overdose deaths in the United States rose nearly 30% in 2020, based on state data reported on July 4, …

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California Now Requires Health Plans To Base Medical Necessity & Utilization Review For Behavioral Health Services On ‘Generally Accepted Standards Of Care’

A new California law to strengthen mental health and addiction parity in the state requires health plans to base their …

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Illinois Medicaid To Cover New Behavioral Health Services

Under legislation, Senate Bill 2294, signed on July 6, 2021, the Illinois Department Healthcare and Family Services (HFS) will expand …

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Behavioral Health Network Adequacy Analysis Rate Is Lower Among Regional Health Plans Than National Plans

Regional health plans and behavioral health management organizations (BHMO) are least likely to regularly analyze their provider organization networks to …

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Transforming Mental Health Care In The US: A Discussion On The RAND Corporation Report

The United States is at a time of promise for historic transformation in mental health care. For decades, systemic problems …

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22 States Changed Laws Or Policies During The COVID-19 Emergency To Require More Robust Insurance Coverage Of Telemedicine

During the coronavirus disease 2019 (COVID-19) public health emergency 22 states changed laws or policies to require more robust insurance …

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Tired, Takeaways, & Transformation: The Impacts Of The COVID-19 Pandemic & Shifts In National Health Policy

The COVID-19 pandemic significantly impacted the mental health and well-being of many Americans. Studies have shown that nearly half of …

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Kansas Establishes Certified Community Behavioral Health Clinics

On May 3, 2021, Kansas Governor Laura Kelly signed legislation, Senate Substitute for House Bill 2208, to establish the Certified …

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Behavioral Health Prevalence Up 50% & Claims Drop By 8%

The number of individuals with behavioral health needs in 2020 and 2021 was about 50% higher compared to 2019, before …

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Tarrant County, Texas To Create A Mental Health Jail Diversion Center

On May 11, 2021, the Tarrant County, Texas Commissioners Court voted to create a mental health jail diversion center (MHJDC) …

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HHS Announces $14.2 Million In American Rescue Plan Funding For Pediatric Mental Health

On May 20, 2021, the U.S. Department of Health & Human Services (HHS) announced a $14.2 million funding opportunity to …

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Maryland & North Carolina Implementing New Laws To Permit Pharmacists To Administer Long-Acting Injectable Antipsychotics

During their 2021 legislative sessions, both Maryland and North Carolina enacted bills to allow pharmacists to administer long-acting injectable (LAI) …

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58% Of Americans Cite Cost & In-Network Status As Important Factors In Behavioral Health Provider Selection

A total of 58% of Americans say the cost of the provider organization, and whether a provider organization is in …

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The Number Of U.S. Behavioral Health Service Locations Increased 34% Over The Past Decade

Between 2011 and 2019, the number of “specialty behavioral health establishments,” defined as mental health and/or addiction treatment service locations. …

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Baltimore To Pilot 911 Diversion Program For Mental Health Crisis

In June 2021, the City of Baltimore will launch a pilot 911 diversion program for mental health crisis calls for …

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Let’s Talk About LGBTQIA+ & Mental Health

As we celebrate Pride Month, PsychU will be joining the LGBTQIA+ community in raising awareness of what it means to …

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63% Of People With Schizophrenia Take Medications Raising Risk Of Cognitive Impairment

About 63% of people with schizophrenia take medications with anticholinergic properties associated with cognitive impairment. Anticholinergics are substances that block …

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Washington State To Launch Prison Alternatives For Non-Violent Felony Offenders With Serious Mental Illness

The Washington Department of Corrections is launching alternatives to prison for felony offenders diagnosed with serious mental illness (SMI) under …

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National Surveys Reveal Disconnect Between Employees & Employers Around Mental Health Need

Two national surveys reveal a disconnect between employees and employers regarding mental health need. Overall, 65% of employers report that …

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Homeless Consumers With Chronic Mental Illness Have 32% Higher Health Costs Than Those Supportive Housing

In Maricopa County, Arizona, individuals with chronic mental illness (CMI) who experienced chronic homelessness have a 32% higher average health …

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Children’s Mental Health, The Pandemic, & The Next Normal

Children’s Hospital Colorado declared a mental health “state of emergency.” What was the criteria for this state of emergency? The system …

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February 2021 First Drop In Telehealth Utilization Since September 2020; Mental Health Accounts For Over Half Of Sessions

Between January and February 2021, the number of telehealth claims per month from commercially insured individuals in the United States …

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Nurses In Leadership Series: Dr. Karah Brashier

Join in the conversation as nurses across the country share their experiences, wisdom, and best practices that exemplify nursing at …

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18% Of Older Adults Report Worsening Mental Health During COVID-19

For adults aged 50 to 80, 18% reported their mental health was worse during the coronavirus disease 2019 (COVID-19) public …

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Medicaid Behavioral Health Use During COVID-19 Dropped 34% For Children & 22% For Adults

Between March 2020 through October 2020 during the U.S. coronavirus disease 2019 (COVID-19) public health emergency, Medicaid behavioral health utilization …

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Suicide Rates Lower Among People Using Long-Acting Injectable Antipsychotics Than Those Taking Oral Antipsychotics

Suicide rates are lower among those using long-acting injectable antipsychotics (LAI) than those taking oral antipsychotics of the same compounds. …

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Mental Health Symptoms & Emergency Department Presentations Rise During COVID-19 Public Health Emergency

Federal survey data for April 2020 through February 2021 indicate that during the coronavirus disease 2019 (COVID-19) public health emergency, …

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Decreases In Local Psychiatric Bed Capacity May Be Associated With Subsequent Increases In Local Jail Populations

Decreases in local psychiatric bed capacity in the United States appear to be associated with subsequent increases in local jail …

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Does More Anxiety & Depression = More Consumers & Revenue?

The fact that the pandemic has increased the prevalence of mental health disorders and substance abuse has been widely reported. …

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Over 40% Of Military Veterans Experienced Psychological Improvement During The Pandemic

During the coronavirus disease 2019 (COVID-19) public health emergency, about 43.3% of U.S. veterans experienced positive psychological changes or post-traumatic …

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Oklahoma Law Limits Use Of Antipsychotic Drugs In Assisted Living Communities

On April 19, 2021, Oklahoma Governor Kevin Stitt signed legislation to limit the use of antipsychotic drugs for residents of …

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How Virtual Behavioral Health Organizations “Fit” In the Health Care Ecosystem

Investments in behavioral health virtual delivery systems have dwarfed investments in brick and mortar services. In 2020, digital behavioral health …

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Outpatient Mental Health Clinics With Higher Fidelity To ‘Zero Suicide’ Practices Had Lower Odds Of A Suicide Incident

Outpatient mental health clinics with higher fidelity to “Zero Suicide” (ZS) practices had a 69% lower likelihood of having a …

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Digital Is Hot & Mental Health Is Hotter

“In a few years, we won’t really be talking about digital health as its own thing. I think digital will …

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Consumers Can Now Get Mental Health Services At CVS. Where?

As usual, a lot has been happening in the care of consumers with chronic and complex conditions.
Despite the pause on …

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Ohio Medicaid Makes COVID-19 Telehealth Rules Permanent

The Ohio Department of Medicaid (ODM) recently implemented new rules to make permanent the state’s temporary expansion of telehealth during …

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The Integrated Care Opportunity

The future for specialty provider organizations will involve participating in “whole person care” in some form or fashion. Payer interest …

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COVID-19 Pandemic Has Increased Incidence Of Mental Health Problems Worldwide

Coronavirus disease 2019 (COVID-19), and the resulting measures to reduce viral spread, negatively affected population mental health worldwide. About 24.0% …

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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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Denver STAR Program Reduces Police Calls for Service By Nearly 1%

The city of Denver Colorado has reported that the first six months of the city’s Support Team Assisted Response (STAR) …

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CMS Will Require Medicare Part D Plans To Offer A Real-Time Drug Benefit Cost Comparison Starting January 1, 2023

A final rule issued on January 19, 2021, for Medicare Part D drug plans will require the plans to offer …

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Depressive Symptoms Associated With Cardiovascular Disease Risk

According to an analysis of two data sets, older adults with depressive symptoms, even low-level symptoms but not cardiovascular problems …

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Ohio Medicaid Allows Pharmacists To Bill For Services Within Community Behavioral Health Organizations

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Mental Health System Transformation: From Ideas To Action

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Transforming Mental Health Care in the United States-RAND 1/11/2021 Mental Health Systems Solutions Explorer

Through a series of interviews of mental health experts across the US, including government officials, public administrators, health system executives, …

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CMS Approves Oklahoma Medicaid Waiver To Cover IMD Services For Addiction & Serious Mental Illness

On December 22, 2020, the Centers for Medicare & Medicaid Services (CMS) approved Oklahoma’s Medicaid waiver to expand access to …

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Largest Increases In Doctor-On-Demand Telemedicine Visits During COVID-19 Were For Unscheduled Behavioral Health Appointments

The largest overall increases in telemedicine visits to the Doctor On Demand telehealth service during the initial months of coronavirus …

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Davidson County Tennessee Opens Center As Jail Alternative For Mentally Ill Offenders

The Davidson County Sheriff’s Office (DCSO) in Tennessee opened a new Behavioral Care Center (BCC) to serve as an alternative …

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Medicaid & CHIP Enrollment Increased By 8.3% Between February & August 2020

From February 2020 to August 2020, national Medicaid and Children’s Health Insurance Program (CHIP) enrollment increased by nearly 5.9 million …

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4.5 Million More Behavioral Health Professionals Needed In U.S., A Shortage Of 87%

Nearly 4.5 million more behavioral health professionals are needed in the U.S. to provide adequately staffed care for the current …

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End of An Era: The Last Of The Standalone Behavioral Health Carve-Outs

Last week was the end of an era in health care financing. With the purchase of Magellan by Centene, there are …

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Young Adults With Higher Than Average Use Of Social Media More Likely To Develop Depression Within Six Months

Young adults ages 18 to 30 in the United States who had higher than average social media use were more …

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The Proportion of Suicide Deaths In Connecticut Racial Minority Groups Significantly Increased During COVID-19

According to analysis of records from the Connecticut Office of the Chief Medical Examiner, the proportion of state suicide deaths …

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Facebook Activity Analysis Can Predict First-Episode Mental Health Hospitalizations Up 18 Months Prior To Diagnosis

A new group of machine learning algorithms analyzing Facebook posts identify users who were subsequently hospitalized for first-episode schizophrenia spectrum …

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Medicare Launching ‘Value In Opioid Use Disorder Treatment’ Demonstration In April 2021

The Medicare Value in Opioid Use Disorder Treatment demonstration is slated to launch in April 2021. The Value in Treatment …

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Preventable Inpatient Stays For Chronic Conditions Varies Threefold By State — Lowest In Wyoming; Highest in Kentucky

In 2016, the population rate of potentially preventable inpatient stays for chronic conditions overall varied more than threefold across 32 …

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Long-Acting Injectable Antipsychotics Reduce Hospitalizations Among Individuals With Early-Phase Schizophrenia

Long-acting injectable antipsychotic (LAI) use by individuals with early-phase schizophrenia can significantly delay time to hospitalization. According to a recent …

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Serious Psychological Stress Tops 13% In 2020, Up From 3.9% In 2018

Reported prevalence of serious psychological distress among U.S. adults was 13.6% in April 2020 and 13% in July 2020, largely …

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93% Of Medicaid Health Plans Reported Using Value-Based Payment Or Alternative Payment Models In 2019

Approximately 93% of Medicaid health plans reported using value-based payment (VBP) or alternative payment models (APMs) in 2019, according to …

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

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Federal Court Reinstates Florida ‘Pay-To-Vote’ Rules For People With Past Felony Convictions

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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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Are You Where Your Consumers Are? Being Social On Social Media

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Future Of Health Care Beyond 2020 Series: Interview With C. Brendan Montano, MD

In this interview, C. Brendan Montano, MD, PsychU Primary Care Provider Section Advisor, discusses the future of health care beyond …

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Future of Health Care Beyond 2020 Series: Interview With Terence Ketter, MD

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Future of Health Care Beyond 2020 Series: Interview With Jim Kenney, RPh, MBA

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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

The U.S. has historically “separated” the health of an individual from their social circumstances. “Clinically appropriate” was added to the …

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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

Pharmacists, pharmacy technicians, student pharmacists, and other pharmacy staff are frontline responders to the COVID-19 pandemic. Staying protected and healthy …

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Protecting Yourself, Your Patients & Your Family

As an essential healthcare provider, taking appropriate steps to protect yourself, your staff, your patients, and your family is a …

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

Pharmacists and pharmacy staff working in ambulatory care/community pharmacy
settings may encounter patients who are displaying symptoms of the novel coronavirus …

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

As an essential healthcare provider, being informed on the most current information about the coronavirus disease (COVID-19) pandemic is critically …

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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

On June 5, 2020, the National Committee for Quality Assurance (NCQA) announced adjustments to 40 Healthcare Effectiveness Data and Information …

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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

On April 14, 2020, the U.S. Food and Drug Administration (FDA) issued guidance that temporarily expands availability of digital health …

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

On April 27, 2020, the White House announced a plan to expand testing for coronavirus disease 2019 (COVID-19) that would …

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

As payers move toward population-based payment models, the National Qualify Forum (NQF) and Humana believe that the models should evaluate …

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CMS Continues Efforts To Expand Access To Telehealth Services

On April 30, 2020, the Centers for Medicare & Medicaid Services (CMS) issued regulatory changes to further expand beneficiary access …

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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

As of April 23, 2020, about 75% of correctional facilities in the United States report that their staff had adequate …

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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

The Food and Drug Administration (FDA) has played a critical role in protecting the United States during the COVID-19 pandemic …

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

On March 30, 2020, the Centers for Medicare & Medicaid Services (CMS) announced temporarily expanded access to telehealth services for …

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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

FFCRA implements the Emergency Family and Medical Leave Expansion Act and the Emergency Paid Sick Leave Act. Both go into …

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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

On March 18, 2020, the Families First Coronavirus Response Act (FFCRA), House Resolution (HR) 6201 was signed into law, with …

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

On March 27, 2020, the Centers for Medicare & Medicaid Services (CMS) announced it had approved requests from 34 states …

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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

On March 12, 2020, the Joint Commission released eight new addiction treatment standards for accredited behavioral health organizations. The new …

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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

The average adjusted cost per day of an inpatient hospital stay in state and local government community hospitals in the …

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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

On March 4, 2020, Humana announced it had launched a Medicare Advantage value-based program (VBP) focused on addressing member social …

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

The Drug Enforcement Administration (DEA) recently proposed revising its regulations for federally certified opioid treatment programs (OTPs) to allow the …

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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

On April 8, 2020, the Centers for Disease Control and Prevention (CDC) issued interim workplace safety practices for critical infrastructure …

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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

The federal Department of Justice (DOJ) concluded Maine’s system of services for people with intellectual/developmental disability (I/DD) violates the Americans …

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

Primary care physician (PCP) practices reporting on electronic clinical quality measures (eCQM) for an evidence-based cardiovascular care approach took a …

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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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Impact Of COVID-19 On Mental Health Care: Perspectives From A Psychiatrist & Primary Care Provider On Access & Treatment

The COVID-19 pandemic will permanently change mental health treatment, agree Drs. Madhukar Trivedi and Sloan Manning, a psychiatrist and a …

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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

The news about COVID-19 is relentless: an ever-escalating number of confirmed cases, portents of economic meltdown, ominous images of barren …

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

Jane Guo, MBA, PharmD, is a Managed Market Liaison­, Northeastern Region, with Otsuka. Her career started in retail pharmacy. She …

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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

On January 21, 2020, the California Department of Corrections and Rehabilitation (CDCR) and the California Correctional Health Care Services (CCHCS) …

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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

Behavioral health services delivered via telemedicine now account for nearly one-third of all telemedicine visits for Excellus BlueCross BlueShield (BCBS), …

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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

On December 4, 2019, the New Mexico Human Services Department (HSD) announced it had settled with the last five of …

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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

Federal legislation signed into law on March 6, 2020 to address national preparation and response to 2019-Novel Coronavirus (COVID-19) includes …

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

On January 1, 2020, Blue Cross and Blue Shield of North Carolina (Blue Cross NC), in collaboration with Quartet 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?

Serious mental illness (SMI) is a disabling condition—and because it develops early in life, it brings with it a lifetime …

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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

In 2018, U.S. health care spending grew 4.6%, reaching $11,172 per person and $3.6 trillion in total. Per person spending …

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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

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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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

On September 26, 2019, Sam’s Club announced the launch of “Sam’s Club Care Accelerator Together with Humana,” a discount health …

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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

The U.S. Department of Labor (DOL) says that pay for home health aides can vary weekly, if the pay still …

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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

On June 19, 2018, the United States Department of Labor (DOL) Employee Benefits Security Administration (EBSA) issued final rules for …

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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

With all the excitement about the President’s budget bill earlier this month, you may have overlooked some important Medicare updates. …

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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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