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This document discusses the meaningful use incentives available through Medicaid and Medicare for eligible professionals and providers who implement and meaningfully use certified electronic health record (EHR) technology. It outlines the goals of meaningful use, who can participate, how the incentive payments work, the requirements and measures, and provides strategies for achieving meaningful use. Examples are given of providers who saved money and increased revenues after implementing EHRs. Contact information is provided for those with additional questions.
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Here are the key highlights from the schedule:
- Sunday features preconference programs including one-day universities and a symposium for CEOs and boards.
- Monday kicks off the main conference with general sessions from Linda Rosenberg and Howard Dean in the morning, followed by workshops, thought leader sessions, and a Dance the Night Away reception in the evening.
- Tuesday has general sessions from Malcolm Gladwell and Geoffrey Canada in the morning and afternoon, along with workshops and thought leader sessions throughout the day.
- Wednesday wraps up with a morning general session from Lee Cockerell before closing programs in the afternoon.
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Here are some tips for getting answers to insurance-related questions:
- Contact your health insurance provider directly. Call the customer service number on the back of your insurance card and ask to speak to a representative. Have your policy number and specific questions ready.
- Check your plan documents. Your insurance provider should have given you documents that outline what is and isn't covered by your plan. Refer to these documents to see if they address your specific question.
- Contact your state's department of insurance. State departments of insurance regulate health insurers and can help answer questions or investigate complaints. You can find contact info on their website.
- Talk to your employer's benefits administrator. If you get insurance through your job, your
Continuum of Care (CoC) Homeless Assistance Grant Program
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Recommended
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This document discusses the meaningful use incentives available through Medicaid and Medicare for eligible professionals and providers who implement and meaningfully use certified electronic health record (EHR) technology. It outlines the goals of meaningful use, who can participate, how the incentive payments work, the requirements and measures, and provides strategies for achieving meaningful use. Examples are given of providers who saved money and increased revenues after implementing EHRs. Contact information is provided for those with additional questions.
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This document discusses healthcare reform and the implications for community behavioral health organizations as employers. It provides an overview of the current state of employer-sponsored healthcare coverage and how provisions in the Affordable Care Act will impact employers. Key provisions that will affect employers beginning in 2014 include requiring plans to cover those seeking coverage regardless of pre-existing conditions, eliminating annual limits on coverage, and assessing penalties on employers not offering affordable coverage. The document outlines various insurance market, coverage, and employer requirements that will be implemented between 2010 and 2018 as a result of healthcare reform.
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- The document summarizes Avalere Health's responses to various questions about how provisions of the Affordable Care Act (ACA) apply to employers, health plans, and state regulations.
- Key points addressed include: employees can only use Flexible Spending Accounts for prescribed drugs and insulin after 2010; the ACA allows premium discounts up to 30% for wellness programs but states can impose stricter rules; municipalities are considered employers under the ACA; medical loss ratios will be calculated annually but rebates for 2013 will be based on 2011-2013 data; and how provisions apply to partial vs full self-insurance.
20100922 nccbh avalere employer webinar final
This document discusses implications of the Affordable Care Act for community behavioral health organizations as employers. It provides an agenda that will cover the current status of employer-provided health insurance, relevant provisions in the ACA, the impact on employers, retiree benefits, and opportunities and threats. Introductory polls ask about organization size, offering retiree insurance, and considering dropping insurance benefits. The presentation is by Avalere Health experts Bonnie Washington and Eric Hammelman.
Conference 2010 final program
Here are the key highlights from the schedule:
- Sunday features preconference programs including one-day universities and a symposium for CEOs and boards.
- Monday kicks off the main conference with general sessions from Linda Rosenberg and Howard Dean in the morning, followed by workshops, thought leader sessions, and a Dance the Night Away reception in the evening.
- Tuesday has general sessions from Malcolm Gladwell and Geoffrey Canada in the morning and afternoon, along with workshops and thought leader sessions throughout the day.
- Wednesday wraps up with a morning general session from Lee Cockerell before closing programs in the afternoon.
- Additional events include film screenings, book signings, the Expo Hall, Wii
Samhsa si paper
The document outlines SAMHSA's strategic initiatives for 2011-2014 to guide its work in reducing the impact of substance abuse and mental illness. It identifies 8 strategic initiatives: 1) Prevention of substance abuse and mental illness, 2) Trauma and justice, 3) Military families, 4) Health care reform implementation, 5) Housing and homelessness, 6) Health information technology, 7) Data, outcomes, and quality, and 8) Public awareness and support. The initiatives aim to make behavioral health an essential part of overall health, demonstrate that prevention and treatment are effective, and promote recovery from mental and substance use disorders.
Toolkit final
Here are some tips for getting answers to insurance-related questions:
- Contact your health insurance provider directly. Call the customer service number on the back of your insurance card and ask to speak to a representative. Have your policy number and specific questions ready.
- Check your plan documents. Your insurance provider should have given you documents that outline what is and isn't covered by your plan. Refer to these documents to see if they address your specific question.
- Contact your state's department of insurance. State departments of insurance regulate health insurers and can help answer questions or investigate complaints. You can find contact info on their website.
- Talk to your employer's benefits administrator. If you get insurance through your job, your
Continuum of Care (CoC) Homeless Assistance Grant Program
This document announces a Notice of Funding Availability (NOFA) from the Department of Housing and Urban Development (HUD) for the Continuum of Care Homeless Assistance Program. Approximately $1.68 billion is available in fiscal year 2010 funding to reduce homelessness through assisting individuals and families to obtain housing and self-sufficiency. Eligible applicants include Continuums of Care that coordinate housing and services for homeless populations. The application deadline is November 18, 2010 and applications must be submitted through HUD's electronic grants management portal.
Cfp chl2010
The Robert Wood Johnson Foundation is accepting nominations for their Community Health Leaders award program through October 22, 2010. The program will select up to 10 individuals to receive $125,000 awards to recognize their work improving health in underserved communities. Nominees must demonstrate leadership in community health, innovation, impact, and resilience. The awards support the individual leader and a 2-year project at their organization to further their work.
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The Consortium for Citizens with Disabilities (CCD) submitted comments on interim final rules implementing provisions of the Affordable Care Act regarding coverage of preventive services. CCD supports coverage of preventive services without cost sharing but believes rules should be strengthened. CCD recommends expanding the definition of preventive services and medical necessity to include maintenance of function. CCD also recommends clarifying coverage for high risk populations and services not addressed by guidelines. Stronger monitoring and enforcement of rules is needed.
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The document is a letter from the Coalition for Whole Health commenting on interim final rules for group health plans and health insurers relating to coverage of preventive services under the Affordable Care Act. The coalition supports the goals of healthcare reform and access to mental health and addiction services. They ask that the final rules: 1) explicitly recognize covered preventive mental health and substance use services and ensure primary care professionals receive training, 2) encourage consideration of additional effective preventive services, and 3) revise provisions that could disproportionately burden access to services for those with mental health/substance use disorders.
Ccd prevention regulation comments draft
The Consortium for Citizens with Disabilities (CCD) submitted comments on interim final rules implementing provisions of the Affordable Care Act regarding coverage of preventive services. CCD supports coverage of preventive services without cost sharing but believes rules should be strengthened. CCD recommends expanding the definition of preventive services and medical necessity to include maintenance of function. CCD also recommends clarifying coverage for high risk populations and services not addressed by guidelines. Stronger monitoring and enforcement of rules is needed.
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Comments on modern addictions and mental health system
The National Council for Community Behavioral Healthcare provided feedback on SAMHSA's position paper describing a modern mental health and addiction treatment system. They suggested that the proposed continuum of care be more specific and evidence-based. They also recommended shortening the introductory section and strengthening the evidence for interventions. Establishing federally qualified behavioral health centers would help implement SAMHSA's vision by standardizing services, collecting outcome data, and bringing funding predictability.
Community to fiscal commission september 2010 final 2
The letter urges the National Commission on Fiscal Responsibility and Reform to take a balanced approach to deficit reduction by both reducing spending and raising revenue. It argues that disproportionate cuts to nondefense discretionary programs, which fund health, education, and social services, would immeasurably harm vulnerable Americans and undermine the nation's competitiveness, despite comprising a small portion of the budget. The letter is signed by over 120 organizations concerned with health, education, poverty, and civil rights.
Draft comments on external appeals
The National Council for Community Behavioral Healthcare submitted comments in response to interim final regulations for internal claims and appeals processes and external review. The National Council represents over 1,700 community mental health and addiction treatment providers. They urged the Departments to (1) increase transparency in health plan decision making, (2) reduce barriers to the appeals process, and (3) provide support to state regulators to ensure enforcement of consumer protections.
Nc mag veterans final
This document is the July 2008 issue of the National Council Magazine. It focuses on veterans returning from Iraq and Afghanistan and their road home.
The issue includes:
- An editorial highlighting the mental health and addiction issues facing many veterans and how community organizations are well-suited to help veterans reintegrate into civilian life.
- Statistics about the high rates of PTSD, depression, substance abuse and homelessness among veterans.
- First-hand accounts from veterans discussing their experiences and struggles.
- Case studies of programs around the country that are helping to meet veterans' behavioral healthcare needs through community partnerships and innovative approaches.
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Nearly 40% of soldiers returning from Iraq and Afghanistan report mental health issues. The document discusses two main organizations that provide mental health services to veterans and active military - the Veterans Health Administration (VA) and TRICARE. The VA is the largest integrated health system for veterans and offers various inpatient and outpatient services. TRICARE is the health program for active and retired military personnel and their families. It discusses how behavioral health professionals can become TRICARE providers to expand access to services for beneficiaries.
Mh and addiction services for service members and veterans
Nearly 40% of soldiers returning from Iraq and Afghanistan report mental health issues. The document discusses two main organizations that provide mental health services to veterans and active military - the VA and TRICARE. It outlines eligibility requirements and services provided by each, such as outpatient counseling and inpatient care. It also discusses ways for community providers to become part of these networks to increase access to care for veterans dealing with conditions like PTSD and substance abuse.
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National council comments medicare part b payment adjustments
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The National Council for Community Behavioral Healthcare submitted comments in response to CMS' proposed changes to hospital outpatient prospective payment systems and 2011 payment rates. Specifically:
1) They strongly opposed CMS' proposal to exclude hospital costs from calculating payment rates for partial hospitalization services provided by community mental health centers.
2) Including hospital costs is required by statute, and excluding them would reduce CMHC payments by 42% in one year.
3) They urged CMS to continue calculating partial hospitalization rates solely based on hospital costs as required by law and consider phasing in any rate reduction.
Nc live 8 3-10 presentation
This document discusses improving mental health service quality through measurement and feedback. It outlines the challenge of a quality gap in community mental health services and lack of evidence for their effectiveness. The theory presented is that systematic measurement of client progress and feedback to clinicians can improve outcomes. The Contextualized Feedback System provides standardized measures, dashboards for feedback, and training. Preliminary randomized trial results found feedback influenced clinician behavior and led to reduced client symptoms and improved functioning compared to no feedback. Plans are discussed to continue developing and testing the approach.
Advancing standards of care call for applications
The document describes a year-long pilot program that will select 10 organizations to improve standards of care for people with schizophrenia. Participating organizations will receive tools and expertise to assess treatment outcomes, implement standardized assessments, and identify barriers. They must commit staff time and resources to project goals. In exchange, they receive technical assistance, data management support, and a $3,000 stipend. The goal is to enhance interventions and compare outcomes across diverse clinical settings.
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This document provides guidance to states on receiving additional federal Medicaid funds through an extension of increased FMAP rates under the Recovery Act. It details that governors must submit a request letter by September 24th certifying that their state will comply with requirements such as not making Medicaid eligibility more restrictive and not depositing funds in rainy day funds. It includes a template request letter and lists the specific requirements states must meet around expenditures, payment timeliness, and contributions from political subdivisions. Contact information is provided for questions.
Ttw mental health conference call
The document announces a teleconference for mental health providers on August 26, 2010 from 2:00-3:00 PM EST to discuss "Three Steps to a Successful Mental Health Ticket Program". Participants can download materials in advance from the provided URL and should call in 10 minutes before to avoid delays. The dial-in number and conference ID are provided to access the call.
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Cfp chl2010
The Robert Wood Johnson Foundation is accepting nominations for their Community Health Leaders award program through October 22, 2010. The program will select up to 10 individuals to receive $125,000 awards to recognize their work improving health in underserved communities. Nominees must demonstrate leadership in community health, innovation, impact, and resilience. The awards support the individual leader and a 2-year project at their organization to further their work.
Ccd prevention regulation comments draft
The Consortium for Citizens with Disabilities (CCD) submitted comments on interim final rules implementing provisions of the Affordable Care Act regarding coverage of preventive services. CCD supports coverage of preventive services without cost sharing but believes rules should be strengthened. CCD recommends expanding the definition of preventive services and medical necessity to include maintenance of function. CCD also recommends clarifying coverage for high risk populations and services not addressed by guidelines. Stronger monitoring and enforcement of rules is needed.
September 2010 draft preventive services comments
The document is a letter from the Coalition for Whole Health commenting on interim final rules for group health plans and health insurers relating to coverage of preventive services under the Affordable Care Act. The coalition supports the goals of healthcare reform and access to mental health and addiction services. They ask that the final rules: 1) explicitly recognize covered preventive mental health and substance use services and ensure primary care professionals receive training, 2) encourage consideration of additional effective preventive services, and 3) revise provisions that could disproportionately burden access to services for those with mental health/substance use disorders.
Ccd prevention regulation comments draft
The Consortium for Citizens with Disabilities (CCD) submitted comments on interim final rules implementing provisions of the Affordable Care Act regarding coverage of preventive services. CCD supports coverage of preventive services without cost sharing but believes rules should be strengthened. CCD recommends expanding the definition of preventive services and medical necessity to include maintenance of function. CCD also recommends clarifying coverage for high risk populations and services not addressed by guidelines. Stronger monitoring and enforcement of rules is needed.
Hill briefing 9 22-10 rosenberg comments
Linda Rosenberg, President and CEO of the National Council for Community Behavioral Healthcare, discusses the increased demand community mental health centers will face under healthcare reform and the Affordable Care Act. An estimated 1.5 million new patients will enter treatment, increasing caseloads by over 20%. However, cuts to public mental health services have also occurred. She asks Congress to support the Community Mental Health and Addiction Safety Net Equity Act to provide reimbursement parity for community behavioral health centers. She also asks Congress to ensure people with mental illness can benefit from provisions in the Affordable Care Act, including its Health Home State Option, and receive equal access to health information technology.
Hhsgovernorlettermfp
The Secretary of Health and Human Services sent a letter to governors highlighting new opportunities in the Affordable Care Act to support people with disabilities. The Act expands Medicaid coverage starting in 2014 and provides funding to strengthen home- and community-based services. It also extends the Money Follows the Person program to help more people transition from institutional to community living. The Secretary encourages governors to take advantage of these provisions to improve healthcare access and adherence to the Americans with Disabilities Act.
Comments on modern addictions and mental health system
The National Council for Community Behavioral Healthcare provided feedback on SAMHSA's position paper describing a modern mental health and addiction treatment system. They suggested that the proposed continuum of care be more specific and evidence-based. They also recommended shortening the introductory section and strengthening the evidence for interventions. Establishing federally qualified behavioral health centers would help implement SAMHSA's vision by standardizing services, collecting outcome data, and bringing funding predictability.
Community to fiscal commission september 2010 final 2
The letter urges the National Commission on Fiscal Responsibility and Reform to take a balanced approach to deficit reduction by both reducing spending and raising revenue. It argues that disproportionate cuts to nondefense discretionary programs, which fund health, education, and social services, would immeasurably harm vulnerable Americans and undermine the nation's competitiveness, despite comprising a small portion of the budget. The letter is signed by over 120 organizations concerned with health, education, poverty, and civil rights.
Draft comments on external appeals
The National Council for Community Behavioral Healthcare submitted comments in response to interim final regulations for internal claims and appeals processes and external review. The National Council represents over 1,700 community mental health and addiction treatment providers. They urged the Departments to (1) increase transparency in health plan decision making, (2) reduce barriers to the appeals process, and (3) provide support to state regulators to ensure enforcement of consumer protections.
Nc mag veterans final
This document is the July 2008 issue of the National Council Magazine. It focuses on veterans returning from Iraq and Afghanistan and their road home.
The issue includes:
- An editorial highlighting the mental health and addiction issues facing many veterans and how community organizations are well-suited to help veterans reintegrate into civilian life.
- Statistics about the high rates of PTSD, depression, substance abuse and homelessness among veterans.
- First-hand accounts from veterans discussing their experiences and struggles.
- Case studies of programs around the country that are helping to meet veterans' behavioral healthcare needs through community partnerships and innovative approaches.
Mh and addiction services for service members and veterans
Nearly 40% of soldiers returning from Iraq and Afghanistan report mental health issues. The document discusses two main organizations that provide mental health services to veterans and active military - the Veterans Health Administration (VA) and TRICARE. The VA is the largest integrated health system for veterans and offers various inpatient and outpatient services. TRICARE is the health program for active and retired military personnel and their families. It discusses how behavioral health professionals can become TRICARE providers to expand access to services for beneficiaries.
Mh and addiction services for service members and veterans
Nearly 40% of soldiers returning from Iraq and Afghanistan report mental health issues. The document discusses two main organizations that provide mental health services to veterans and active military - the VA and TRICARE. It outlines eligibility requirements and services provided by each, such as outpatient counseling and inpatient care. It also discusses ways for community providers to become part of these networks to increase access to care for veterans dealing with conditions like PTSD and substance abuse.
Advancing standards of care call for applications
The document describes a pilot program that will provide tools and assistance to 10 community behavioral health organizations to: assess if their treatment regimens are maximizing outcomes, implement a standardized patient assessment, and identify barriers to improving standards of care. Selected organizations will receive year-long technical assistance from experts, use of a web portal for data management, and participation in a learning event. The goal is to help organizations enhance care for people with schizophrenia.
National council comments medicare part b payment adjustments
The National Council for Community Behavioral Healthcare submitted comments in response to CMS's proposed rule to rebase Medicare payments. The Council is concerned that the proposed reductions would disproportionately impact mental health providers, with licensed clinical social workers and psychologists facing a 5% cut and psychiatrists a 3% cut. This could lead more mental health providers to opt out of Medicare and reduce beneficiaries' access to crucial mental health services. The Council urges CMS to reevaluate the rebasing approach so it does not undermine mental health parity or access to care.
Cms php rate comments 1504 p
The National Council for Community Behavioral Healthcare submitted comments in response to CMS' proposed changes to hospital outpatient prospective payment systems and 2011 payment rates. Specifically:
1) They strongly opposed CMS' proposal to exclude hospital costs from calculating payment rates for partial hospitalization services provided by community mental health centers.
2) Including hospital costs is required by statute, and excluding them would reduce CMHC payments by 42% in one year.
3) They urged CMS to continue calculating partial hospitalization rates solely based on hospital costs as required by law and consider phasing in any rate reduction.
Nc live 8 3-10 presentation
This document discusses improving mental health service quality through measurement and feedback. It outlines the challenge of a quality gap in community mental health services and lack of evidence for their effectiveness. The theory presented is that systematic measurement of client progress and feedback to clinicians can improve outcomes. The Contextualized Feedback System provides standardized measures, dashboards for feedback, and training. Preliminary randomized trial results found feedback influenced clinician behavior and led to reduced client symptoms and improved functioning compared to no feedback. Plans are discussed to continue developing and testing the approach.
Advancing standards of care call for applications
The document describes a year-long pilot program that will select 10 organizations to improve standards of care for people with schizophrenia. Participating organizations will receive tools and expertise to assess treatment outcomes, implement standardized assessments, and identify barriers. They must commit staff time and resources to project goals. In exchange, they receive technical assistance, data management support, and a $3,000 stipend. The goal is to enhance interventions and compare outcomes across diverse clinical settings.
08 18-10-cmcs-informational-bulletin-fmap-extension-guidance
This document provides guidance to states on receiving additional federal Medicaid funds through an extension of increased FMAP rates under the Recovery Act. It details that governors must submit a request letter by September 24th certifying that their state will comply with requirements such as not making Medicaid eligibility more restrictive and not depositing funds in rainy day funds. It includes a template request letter and lists the specific requirements states must meet around expenditures, payment timeliness, and contributions from political subdivisions. Contact information is provided for questions.
Ttw mental health conference call
The document announces a teleconference for mental health providers on August 26, 2010 from 2:00-3:00 PM EST to discuss "Three Steps to a Successful Mental Health Ticket Program". Participants can download materials in advance from the provided URL and should call in 10 minutes before to avoid delays. The dial-in number and conference ID are provided to access the call.
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Comments on modern addictions and mental health system
Comments on modern addictions and mental health system
Community to fiscal commission september 2010 final 2
Community to fiscal commission september 2010 final 2
Mh and addiction services for service members and veterans
Mh and addiction services for service members and veterans
Mh and addiction services for service members and veterans
Mh and addiction services for service members and veterans
National council comments medicare part b payment adjustments
National council comments medicare part b payment adjustments
08 18-10-cmcs-informational-bulletin-fmap-extension-guidance
08 18-10-cmcs-informational-bulletin-fmap-extension-guidance
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According to research conducted by the National Family Health Survey of India, diabetic cases show a projection which might increase to 10.4% by 2030.
Cell Therapy Expansion and Challenges in Autoimmune Disease
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
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