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The Affordable Care Act and Integrated Behavioural Health Care

The Affordable Care Act and Integrated Behavioural Health Care
Author: Ford H. Kuramoto
Publisher: Routledge
Total Pages: 255
Release: 2017-10-02
Genre: Medical
ISBN: 131753493X
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This book provides a scholarly discussion of arguably the most important advance in U.S. public health services since Medicare 50 years ago - how the Federal program known as the Patient Care and Affordable Care Act of 2010 (ACA) or "Obamacare" became law. It addresses ACA in terms of its impact on improving health and behavioural health services for key diverse populations in America, including people with disabilities, consumers, women, racial and ethnic minorities, and veterans and their families. From the very beginning, ACA was controversial and the topic of heated political debate at both state and national levels. This book examines more closely how the legislation was developed, including the political history of the act; the many advocacy efforts at the national level and the community-based action strategies at the grassroots level; how ACA will affect a broad cross-section of America; the integration of health and behavioural health services as a key component of ACA; the financing of ACA and parity for behavioural health services. This book was originally published as a special issue of the Journal of Social Work in Disability & Rehabilitation.

The Impact of the Affordable Care Act on Behavioral Health Services

The Impact of the Affordable Care Act on Behavioral Health Services
Author: Charlene Cynthia Chow
Publisher:
Total Pages: 95
Release: 2011
Genre:
ISBN:
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Historically, the behavioral health system has been characterized by fragmentation and dissatisfactory access, quality, and cost of care. The Patient Protection and Affordable Care Act (PPACA) of 2010 addresses many of these issues. Objectives: This Community-Based Masters Project analyzed the impact of the PPACA on mental and behavioral health services, with a focus on 5 questions -- who, what, how, where, and when. That is, [1] who will deliver behavioral health services, [2] what will behavioral health entail, [3] how will these services be funded, [4] where will these services be delivered, and [5] when will these provisions take effect, according to the PPACA? Methods: Research design consisted of a general literature review followed by policy analysis of relevant provisions in the PPACA; behavioral health-related terms were identified and located in the PPACA, and results were synthesized from relevant sections. Results: Relevant provisions were found in 25 sections of the PPACA. Compared to the behavioral health system at present, the most significant changes impact the definition of behavioral health. Conversely, the PPACA only moderately alters behavioral health service sites, and providers and funding mechanisms not at all. Recurring themes include greater focus on integration, vulnerable populations, research and prevention, and mental health parity, in general. Limitations are also present, and include a lack of third-party review system for new behavioral health programs, a lack of behavioral health input in integrative health initiatives, and the vague, unspecified, or disparate monetary amounts designated for many behavioral health provisions. Conclusion: These provisions are likely to have a positive impact on behavioral health patients and professionals alike. Of course, such success depends on the PPACA being allowed to proceed as it was enacted. Though Pennsylvania may eventually overturn the PPACA, behavioral health advocates and providers should regardless invest in co-locating care services in integrative settings, health homes and patient-centered models of care, behavioral health worker education and training, high-quality reporting systems, and more complete parity overall.

Care Without Coverage

Care Without Coverage
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 213
Release: 2002-06-20
Genre: Medical
ISBN: 0309083435
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Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Integrating Mental Health Into Primary Care

Integrating Mental Health Into Primary Care
Author: World Health Organization
Publisher: World Health Organization
Total Pages: 224
Release: 2008
Genre: Business & Economics
ISBN: 9241563680
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Presents the justification and advantages of providing mental health services in primary care. Provides advice on how to implement and scale-up primary care for mental health, and describes how a range of health systems have successfully undertaken this transformation. Part 1 provides the context for understanding primary care for mental health within the broader health care system. Part 2 explains how to successfully integrate mental health into primary care and highlights 10 common principles which are central to this effort. It also presents 12 detailed case examples to illustrate how a range of health systems have undertaken this transformation. Annex 1 provides information about the skills and competencies that are required to effectively assess, diagnose, treat, support and refer people with mental disorders.

Mad Among Us

Mad Among Us
Author: Gerald N. Grob
Publisher: Simon and Schuster
Total Pages: 357
Release: 1994-02-21
Genre: History
ISBN: 1439105715
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In the first comprehensive one-volume history of the treatment of the mentally ill, the foremost historian in the field compellingly recounts our various attempts to solve this ever-present dilemma from colonial times to the present. Gerald Grob charts the growth of mental hospitals in response to the escalating numbers of the severely and persistently mentally ill and the deterioration of these hospitals under the pressure of too many patients and too few resources. Mounting criticism of psychiatric techniques such as shock therapies, drugs, and lobotomies and of mental institutions as inhumane places led to a new emphasis on community care and treatment. While some patients benefited from the new community policies, they were ineffective for many mentally ill substance abusers. Grob’s definitive history points the way to new solutions. It is at once an indispensable reference and a call for a humane and balanced policy in the future.

Improving the Quality of Health Care for Mental and Substance-Use Conditions

Improving the Quality of Health Care for Mental and Substance-Use Conditions
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 528
Release: 2006-03-29
Genre: Medical
ISBN: 0309133661
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Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.

The Affordable Care Act and Community Mental Health

The Affordable Care Act and Community Mental Health
Author: Katherine Shadish
Publisher:
Total Pages: 142
Release: 2017
Genre: Community mental health services
ISBN:
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The Affordable Care Act (ACA), popularly referred to as “Obamacare,” was passed in 2010 and has resulted in significant changes across all areas of health care. Specifically, the law’s passage has raised questions about community mental health agencies’ ability to meet the increased demand for services, and agencies have had to adapt to stricter standards requiring the use of evidence-based practices, electronic health record systems, and increased integration between all areas of healthcare. Because of the law’s relatively recent passage, very little research currently exists about how community mental health agencies have adapted to the new regulations. This dissertation conducted a community-based qualitative research study consisting of interviews of mental health providers in community mental health agencies to assess how they have accommodated any increase in demand for services, to what extent they have increased integration between mental health, substance use, and medical services, and how they have implemented evidence-based practices and electronic health records. Barriers and solutions to ACA implementation were also queried. Qualitative data was analyzed thematic analysis to cull the major approaches to implementing ACA mandates, barriers to implementation, positive consequences of ACA, and overall reactions to ACA among community mental health providers and agencies. Results found that increased demand has been met with workforce expansion, integration has primarily been implemented between mental health and medical services, and evidence-based practices and electronic health records are widely used and supported. Providers consistently cited improved quality of care. Frequently identified barriers include insufficient training and resources. Organizational leadership was identified as a significant influence on the relative success of implementing reforms based on their ability to plan and communicate change and allocate resources.

Section 1557 of the Affordable Care Act

Section 1557 of the Affordable Care Act
Author: American Dental Association
Publisher: American Dental Association
Total Pages: 10
Release: 2017-05-24
Genre: Medical
ISBN: 1941807712
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Section 1557 is the nondiscrimination provision of the Affordable Care Act (ACA). This brief guide explains Section 1557 in more detail and what your practice needs to do to meet the requirements of this federal law. Includes sample notices of nondiscrimination, as well as taglines translated for the top 15 languages by state.

Improving Access to Oral Health Care for Vulnerable and Underserved Populations

Improving Access to Oral Health Care for Vulnerable and Underserved Populations
Author: National Research Council
Publisher: National Academies Press
Total Pages: 296
Release: 2012-01-22
Genre: Medical
ISBN: 0309209463
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Access to oral health care is essential to promoting and maintaining overall health and well-being, yet only half of the population visits a dentist each year. Poor and minority children are less likely to have access to oral health care than are their nonpoor and nonminority peers. Older adults, people who live in rural areas, and disabled individuals, uniformly confront access barriers, regardless of their financial resources. The consequences of these disparities in access to oral health care can lead to a number of conditions including malnutrition, childhood speech problems, infections, diabetes, heart disease, and premature births. Improving Access to Oral Health Care for Vulnerable and Underserved Populations examines the scope and consequences of inadequate access to oral health services in the United States and recommends ways to combat the economic, structural, geographic, and cultural factors that prevent access to regular, quality care. The report suggests changing funding and reimbursement for dental care; expanding the oral health work force by training doctors, nurses, and other nondental professionals to recognize risk for oral diseases; and revamping regulatory, educational, and administrative practices. It also recommends changes to incorporate oral health care into overall health care. These recommendations support the creation of a diverse workforce that is competent, compensated, and authorized to serve vulnerable and underserved populations across the life cycle. The recommendations provided in Improving Access to Oral Health Care for Vulnerable and Underserved Populations will help direct the efforts of federal, state, and local government agencies; policy makers; health professionals in all fields; private and public health organizations; licensing and accreditation bodies; educational institutions; health care researchers; and philanthropic and advocacy organizations.

The Ten Year War

The Ten Year War
Author: Jonathan Cohn
Publisher: St. Martin's Press
Total Pages: 320
Release: 2021-02-23
Genre: Political Science
ISBN: 1250270944
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Jonathan Cohn's The Ten Year War is the definitive account of the battle over Obamacare, based on interviews with sources who were in the room, from one of the nation's foremost healthcare journalists. The Affordable Care Act, better known as “Obamacare,” was the most sweeping and consequential piece of legislation of the last half century. It has touched nearly every American in one way or another, for better or worse, and become the defining political fight of our time. In The Ten Year War, veteran journalist Jonathan Cohn offers the compelling, authoritative history of how the law came to be, why it looks like it does, and what it’s meant for average Americans. Drawn from hundreds of hours of interviews, plus private diaries, emails and memos, The Ten Year War takes readers to Capitol Hill and to town hall meetings, inside the West Wing and, eventually, into Trump Tower, as the nation's most powerful leaders try to reconcile pragmatism and idealism, self-interest and the public good, and ultimately two very different visions for what the country should look like. At the heart of the book is the decades-old argument over what’s wrong with American health care and how to fix it. But the battle over healthcare was always about more than policy. The Ten Year War offers a deeper examination of how our governing institutions, the media and the two parties have evolved, and the dysfunction those changes have left in their wake.