The Carve-Out/Carve-In Question
The number of state Medicaid plans using primary carve-outs models for the financing and delivery of behavioral health services have dropped significantly, from 15 states in 2011 to 8 states… Read More
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Payer & Financing Models
By emphasizing quality over quantity, value-based reimbursement and risk-sharing models support patient-centered care while aiming to reduce total health care expenditures. Here you’ll find resources to keep you up to date on the latest in payer and financing concerns.
The Unwinding Begins
Thursday, May 11, is the official end of the Public Health Emergency. The U.S. Department of Health and Human Services (HHS) extended the public health emergency for much of 2022.… Read MoreDigital Cognitive Behavioral Therapy More Effective Than Medication Therapy For Insomnia Treatment
Digital cognitive behavioral therapy for insomnia (dCBT-I) is a more effective treatment than medication according to a comparison conducted using the Good Sleep 365 mobile dCBT-I app. The comparison looked… Read MoreCost Of 30-Day Hospital Readmission 6% Higher Among Those With Alzheimer’s
The cost of a 30-day hospital readmission following hospital discharge was 5.9% ($467) higher for those with Alzheimer’s disease and related dementias (ADRD) than people without ADRD, according to an… Read MoreThe ROI Of Whole Person Care
The “integration” of health and human service delivery systems is on the rise. Seventy-three percent of primary care provider organizations have integrated treatment for co-occurring disorders and 51% of specialty… Read MoreNearly One In Three Older Adults Or People With Disabilities Who Are Medicaid Beneficiaries Have Unmet LTSS Needs
Nearly one in three (31%) of older adults and people with disabilities receiving Medicaid long-term services and supports (LTSS) have unmet service needs, according to 2021 to 2022 national survey… Read MoreMedicare Trustees Predict Hospital Fund To Run Out In 2031
On March 31, 2023, the Board of Trustees for Medicare released their most recent report to Congress on the financial operations and actuarial status of Medicare. According to the report,… Read MoreCMS Extends Medicare Advantage Value-Based Insurance Design Model Through 2030
The Centers for Medicare & Medicaid Services (CMS) Medicare Advantage (MA) Value-Based Insurance Design (VBID) Model will be extended for calendar years 2025 through 2030 with five major changes. Three… Read MoreGoing Hybrid—It’s The People
The genie is out of the bottle. The pandemic gave the majority of the American public the opportunity to use telehealth for their health care services. And generally, they like… Read More12% Of Adult Emergency Department Visits For A Behavioral Health Issue
Data released in March, 2023 by the National Center for Health Statistics highlight the prevalence of behavioral health-related emergency department (ED) visits among adults in the U.S. between 2018 and… Read More - PsychU For You
