11 Points for Mental Health Care Reform

11 Points for Mental Health Care Reform - Because of the greater understanding of how many Americans live with mental illness and addiction disorders and how expensive total health care spending is for this group, we have reached a critical point when it comes to health reform. We understand the importance of treating the health care needs of individuals with serious mental illness and responding to the health care needs of all Americans. 

This creates a series of exciting opportunities for the behavioral health community and a series of unprecedented challenges, mental health organizations across the US are determined to provide expertise and leadership that supports member organizations, federal, state, health plans, and consumer groups in ensuring that the main problems faced by people with mental health disorders and drug use are handled well and integrated into health service reform.

11 Points for Mental Health Care Reform


In anticipation of parity laws and mental health care reform, many national mental health organizations and communities have been thinking, meeting and writing for more than a year. Their work continues and the results guide these organizations lobbying government health reform.


DELIVERY OF MENTAL HEALTH SERVICES


1. Provider Capacity Building for Mental Health / Health Substance: 

Mental health and drug use care organizations, group practices, and individual doctors need to improve their ability to provide measurable, high-performance, prevention, early intervention, recovery, and welfare-oriented services and support.


2. People-Centered Health Care Homes: 

There will be far greater demand for integrating mental health doctors and drug use into primary care practices and primary care providers into health care and drug use organizations using substances, using a clinical model of practice best and good practices and strong relationships between primary care and special behavioral care.


3. Peer Counselors and Consumer Operated Services: 

We will look at the expansion of consumer-operated services and the integration of colleagues into mental health and labor use and a variety of services, underscoring the important role these efforts play in supporting the recovery and well-being of people with mental health and substance use disorders.


4. Mental Health Clinical Guidelines: 

The pace of development and dissemination of mental health and clinical guidelines for substance use and clinical tools will increase with the support of the Patient-Centered New Results Research Institute and other research and implementation efforts. Of course, part of this initiative includes helping mental patients find the closest mental health clinic.


MENTAL HEALTH SYSTEM MANAGEMENT


5. Medicaid Exchange and Health Insurance Exchange: 

Countries need to make a major change process to improve the quality and value of mental health services and substance use at parity when they redesign their Medicaid systems to prepare for expansion and design Health Insurance Exchange. 

Provider organizations must be able to work with new Medicaid designs and contracts with and billing services through the Exchange.


6. Sponsored Health Plans and Parities Entrepreneurs: 

Employers and benefits managers need to redefine the way to use behavioral health services to overcome absenteeism and attendance and develop a more resilient and productive workforce. Provider organizations need to adjust their service offerings to meet the needs of employers and work on their contract and billing systems.


7. Responsible Care Organizations and Redesign of Health Plans: 

Payers will encourage and in some cases mandate the development of new management structures that support health service reform including the Accountable Care Organization and redesign of health plans, providing guidance on how mental health and substance use should be incorporated into improving quality and better managing total health care expenditure. 

Provider organizations must take part in and become ACO owners who develop in their communities.


MENTAL HEALTH INFRASTRUCTURE


8. Quality Improvement for Mental Health:

Organizations including the National Quality Forum will accelerate the development of national quality improvement strategies that measure mental health performance and substance use that will be used to improve the delivery of mental health services and substance use, patient health outcomes, and population health and manage costs.

Provider organizations need to develop infrastructure to operate within this framework.

9. Health Information Technology:

Federal and state HIT initiatives need to reflect the importance of mental health services and substance use and include mental health and substance service providers and data requirements in funding, design work, and infrastructure development.

Provider organizations must be able to implement electronic health records and register patients and link this system to public health information networks and the exchange of health information.

10. Health Payment Reform:

Payers and health plans will need to design and implement new payment mechanisms including case and capitation levels that contain value-based purchases and value-based insurance design strategies suitable for people with mental health problems and drug use.

Providers need to adjust their practice management and billing systems and work processes to be able to work with this new mechanism.

11. Workforce Development:

Major changes need to be made including the work of a new Labor Advisory Committee that will be needed to build national workforce efforts that meet the needs of people indicated to have mental health disorders and drug use including the expansion of peer counselors.

Provider organizations need to participate in this effort and are ready to increase their workforce to meet ongoing demand.

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