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policy

The roadmap implements the three pillars of the President's March 2022 Strategy to Address our National Mental Health Crisis.

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policy

A proposed rule for the Medicare Physician Fee Schedule for calendar year 2023 would extend telehealth regulatory flexibility, make changes to the Medicare Shared Savings Program, and revise the Quality Payment Program.

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policy

CMS proposes to decrease the conversion factor determining physician payment rates for specific services by $1.53. The proposed rule also includes provisions related to Medicare reimbursement of telehealth services, vaccine administration, and the Medicare Shared Savings Program.

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The bill, which would improve gun safety and expand access to mental health services, offers hope to health care workers, who face increased personal risk as caregivers often on the front lines of workplace violence.

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policy

The agency's strategy to strengthen behavioral health care focuses on improving access, equity, quality, and data integration.

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policy

Congress last week passed aid for the Ukraine war effort but remains stalled on a $10 billion COVID-19 funding bill. A group of three House caucuses of Black, Hispanic, and Asian Pacific American lawmakers have introduced health equity legislation.

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policy

The bipartisan legislation would reauthorize programs under the Substance Abuse and Mental Health Services Administration and Health Resources and Services Administration and is timed to coincide with Mental Health Awareness Month.

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policy

Party leaders in the Senate announced a compromise package that would fund $10 billion in COVID-19 relief for therapeutics, vaccines, and pandemic prevention. Meanwhile, a House panel continues work on legislation to aid small businesses.

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policy

The Substance Abuse and Mental Health Services Administration will ask grant recipients to develop or expand evidence-based services that may include the provision of sterile syringes, safe-sex kits, prevention education, overdose prevention kits, and more. Applications are due Feb. 7, 2022.

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policy

A new Department of Health and Human Services report finds the share of Medicare visits conducted via telehealth increased from about 840,000 in 2019 to 52.7 million in 2020. In particular, telehealth was helpful in offsetting potential foregone behavioral health care during the COVID-19 pandemic.

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policy

The letter from America’s Essential Hospitals to the Senate Committee on Finance responded to the panel’s request for information on improving access to and enhancing mental and behavioral health care.

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policy

The new strategy from the Department of Health and Human Services expands the scope of crisis response beyond opioids to include other substances often involved in overdoses. It focuses on four priority areas: primary prevention, harm reduction, evidence-based treatment, and recovery support.

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policy

CMS announces $15 million for state Medicaid agencies to launch mobile crisis intervention services, as authorized by the American Rescue Plan.

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policy

The Office of National Drug Control Policy outlines the Biden administration's drug policy priorities for 2021, including expanding access to evidence-based treatment and prevention services, advancing racial equity, reducing supply of illicit substances, and advancing recovery-ready workplaces.

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institute

Essential hospitals serving complex patients can use the actionable information in this guide to replicate and implement NYC H+H’s process.

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policy

The changes aim to remove barriers to care coordination and allow additional information sharing for providers treating patients with substance use disorder.

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Essential Insights

At essential hospital Boston Medical Center, changing the language we use is the first step in changing the way we treat people with substance use disorder.

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policy

The statutorily required report reviews rules and oversight for institutions for mental disease in seven states. Meanwhile, CMS announced it will integrate the psychiatric hospital program survey into its larger survey to determine compliance with Medicare conditions of participation.

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policy

The agency announced awardees for two new models that seek to improve care coordination for children and for mothers with opioid use disorder.

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state-action

State Medicaid directors named delivery system and payment reform as their top priority in an annual operations survey from the National Association of Medicaid Directors.

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state-action

States are leveraging financial incentives, quality measures, waivers, and public-private partnerships to slow climbing rates of substance use disorder and overdose among pregnant women.

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Essential Insights

Essential hospitals The MetroHealth System, UC Health, and The Ohio State University Wexner Medical Center play a key role in opioid misuse prevention and intervention.

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policy

CMS also approved a unique behavioral health transformation waiver for the District of Columbia that targets beneficiaries with serious mental illness or serious emotional disturbance.

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policy

The 18-month grants, awarded to 15 state Medicaid agencies, seek to increase the ability of providers to deliver substance use disorder treatment and recovery services.

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state-action

States that expanded Medicaid under the Affordable Care Act saw higher prescribing rates for medication-assisted treatment than nonexpansion states.

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policy

The proposed rules would revise Part 2 provisions to facilitate better care coordination and make technical corrections regarding court-authorized disclosures.

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policy

Funding will support the State Opioid Response Grant Program and a cooperative agreement to help state and local governments track overdose data.

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While the rules help remove barriers to care coordination, the association calls to fully align Part 2 with the Health Insurance Portability and Accountability Act.

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policy

Two proposed rules aim to remove barriers to care coordination and facilitate information sharing for providers treating patients with substance use disorders.

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policy

As Congress returns from the July Fourth recess, lawmakers focus on legislation to reduce surprise medical bills and prescription drug costs, as well as extend short-term funding for community behavioral health clinics.

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policy

Under five-year demonstration projects, these states are approved to receive Medicaid matching funds for treatment in facilities that qualify as institutions for mental diseases.

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policy

The Centers for Medicare & Medicaid Services announced a $50 million funding opportunity for up to 10 states to aid in treatment and recovery services for individuals with substance use disorder, including opioid use disorder.

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policy

In June 3 letters, America's Essential Hospitals encouraged the Centers for Medicare & Medicaid Services and the Office of the National Coordinator for Health Information Technology to consider the regulatory burden that new interoperability requirements would place on essential hospitals.

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state-action

In an Institute for Medicaid Innovation survey, states listed 42 CFR Part 2 information sharing limitations and fragmented Medicaid funding and managed care contracting as top barriers to providing behavioral health services.

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policy

Revised guidance clarifies what constitutes a ligature risk and outlines a ligature risk extension process for deficient hospitals; comments are due June 17.

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policy

A letter circulating in Congress calling for a delay of Medicaid disproportionate share hospital payment cuts has gained more than 110 bipartisan signatures. The president signed a Medicaid extenders package, which includes a provision identical to the Advancing Care for Exceptional (ACE) Kids Act.

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Essential Insights

Reducing preventable readmissions, which often are related to behavioral health conditions, with appropriate and timely care is of paramount concern to the members of Premier and America’s Essential Hospitals.

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policy

The legislation allows states to establish Medicaid health homes to coordinate complex care for children and provides $20 million in additional funding for the "Money Follows the Person" demonstration program, among other provisions.

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policy

The House also will mark up a dozen bills aimed at lowering health care and prescription drug costs. House and Senate committees move forward on work to address surprise billing.

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policy

Lawmakers have introduced bipartisan legislation to give states additional support for combating the opioid crisis by extending Medicaid's certified community behavioral health clinic demonstration program. Committees remain focused on prescription drug prices.

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policy

Maine and Michigan join five other states to receive approval for Medicaid work requirements; unlike most other states, Maine's work requirements will apply to both existing beneficiaries and those newly eligible through expansion.

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policy

The 116th session of Congress convenes as leaders seek a deal to end a partial government shutdown, while health care legislation hangs in the balance.

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policy

The new guidance recommends that clinicians consider prescribing or coprescribing naloxone to individuals with a high risk of opioid overdose.

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institute

Essential Hospitals Institute is committed to advancing the field of complex care, especially for hospitals serving a safety-net role. Institute Director Kalpana Ramiah, DrPH, MSc, took part in a recent conference where a new Blueprint for Complex Care was unveiled.

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policy

Seven new requirements under the National Patient Safety Goals program require hospitals to screen for suicide risk and standardize treatment procedures.

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institute

Applications will open Jan. 3, 2019, and applicants are invited to an informational town hall session on Jan. 22 at noon ET.

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policy

A new demonstration opportunity, which can be carried out through Section 1115 waivers, would allow states to receive reimbursement for services at institutions for mental disease for individuals with serious mental illness or serious emotional disturbance.

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policy

The Maternal Opioid Misuse model will last five years and support the integration of clinical care with other services critical for health, well-being, and recovery for pregnant and postpartum Medicaid beneficiaries.

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policy

This funding supports initiatives under the agency's Five-Point Opioid Strategy and was distributed in conjunction with Prescription Opioid and Heroin Epidemic Awareness Week.

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policy

The Substance Abuse and Mental Health Services Administration data provide a statistical context for the country’s opioid crisis and other behavioral health matters.

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policy

The Integrated Care for Kids (InCK) Model seeks to target physical and behavioral health needs through prevention, early identification, and treatment.

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quality

The new Food and Drug Administration draft guidance encourages researchers to consider a broader set of outcomes when approving new drugs for medication-assisted treatment, including a reduction in relapse overdoses and rates of disease transmissions.

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policy

The agency will not convene a proposed task force to reduce environmental risks associated with the care of psychiatric inpatients, opting instead to use findings from The Joint Commission special report on suicide prevention in health care settings.

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Essential Insights

Leaders from Christiana Care Health System, in Wilmington, Del., and The MetroHealth System, in Cleveland, shared at VITAL2018 how their hospitals have tackled the opioid crisis.

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webinar

Gain insight into Christiana Care’s programs to curb the opioid crisis in their community and hear how the health system finds “reachable moments” to help patients get treatment and avoid overdosing.

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policy

The decision strikes down the state's overall Section 1115 waiver, which included community engagement and work requirements, but it upholds as a separate waiver a portion allowing Medicaid reimbursement for substance use disorder treatment in institutions for mental disease.

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policy

A change brought by passage of the 21st Century Cures Act will ensure coverage for early and periodic screening, diagnostic, and treatment services for children under age 21 receiving inpatient psychiatric hospital services.

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policy

This year's Medicaid and CHIP Payment and Access Commission report focuses on the high cost of prescription drugs and the opioid epidemic.

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policy

An informational bulletin outlines the role of Medicaid in the care of infants born with neonatal abstinence syndrome, while a letter to state Medicaid directors offers guidance on funding Medicaid technology to combat the opioid crisis.

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quality

The Substance Abuse and Mental Health Services Administration funding aims to increase access to medication-assisted treatment for individuals with opioid use disorder, as well as to decrease illicit opioid drug use and prescription opioid misuse.

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policy

Two new fact sheets clarify the application of privacy regulations under 42 CFR Part 2, a longstanding rule dictating how to share patient data related to substance use disorder.

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quality

The event, for National Minority Health Month, will discuss how the opioid crisis affects minority communities and how organizations partner to combat the crisis and improve behavioral health.

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policy

The grants will be used to establish, expand, and maintain assertive community treatment programs to reduce rates of substance use, homelessness, and criminal justice system involvement among individuals with serious mental illness. Applications are due May 29.

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policy

Senate Finance Committee leadership sent a letter to stakeholders requesting information on Medicare and Medicaid policy options that could be used to combat the opioid epidemic.

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policy

The designation allows federal health agencies to allocate resources and hire specialists to combat the opioid crisis. The original declaration was set to expire on Jan. 23.

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policy

The agency expects to release comprehensive ligature risk interpretive guidance later this year for psychiatric units of acute-care hospitals and psychiatric hospitals.

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institute

Patients who do not need to be admitted to the hospital are referred to the crisis stabilization unit at Sinai Health's Holy Cross Hospital for behavioral health treatment in a calm, safe space.

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quality

During the Dec. 13 webinar, association member Boston Medical Center will discuss the hospital's substance use disorder treatment initiatives.

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policy

The new guide will help patients understand their mental and behavioral health, navigate treatment options, and find appropriate services.

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webinar

Explore Whole Person Care, a pilot initiative through California’s Section 1115 Medicaid waiver that works to improve care for people with complex issues by tackling medical, behavioral, and socioeconomic needs.

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webinar

Discover how NYC Health + Hospitals, a 2017 Gage Award winner, began universal depression screening for adults and implemented collaborative care for depression in the primary care setting.

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institute

The Health Care Access Design Challenge, offered through the Federal Transit Administration, aims to overcome transportation-related barriers to health care access.

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policy

Expanded Medicaid access under the Affordable Care Act might have helped patients seek treatment for behavioral health issues, which disproportionately affect low-income populations.

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policy

The funds aim to increase the use of medication-assisted treatment, train first responders, and increase access to overdose reversal medications.

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policy

In awarding the funds, HHS Secretary Tom Price committed to collaborating with states and seeking their “assistance to identify best practices, lessons learned, and key strategies that produce measurable results.”

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webinar

Attendees learned how leaders from the University of New Mexico Health System have integrated team-based approaches to overcome challenges and coordinate care.

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policy

President Trump established the commission and ordered it to make final recommendations by Oct. 1; New Jersey Gov. Chris Christie will serve as chair.

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webinar

Participants learned about Coaching to Wellness, a program for mental health consumers with comorbid health conditions in Contra Costa County, California.

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policy

Starting in 2017, nurse practitioners and physician assistants can train to prescribe buprenorphine for the treatment of opioid use disorder.

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policy

Providers approved for a patient limit increase must report on caseload, patients referred to behavioral health care, and their diversion control plan.

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quality

A Healthy Schools Campaign toolkit aims to help school districts combat health issues that distract students from education or cause chronic absenteeism.

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institute

Panelists discussed problems and potential solutions at the briefing, which pointed to low patient engagement, lack of resources and knowledge, and the need to integrate physical and behavioral health as key challenges.

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policy

Senate appropriators pass HHS spending bill that includes 340B Drug Pricing Program user fee and instructions to HRSA to consider stakeholder input in final mega-guidance.

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quality

Memorial Healthcare System, in Hollywood, Fla., is integrating behavioral and primary care in its new, federally funded program.

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policy

The new recommendations are based on principles that promote alternative therapies and minimum effective opioid dosage. CDC also released fact sheets and other resources.

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policy

Conservative Freedom Caucus opposes GOP budget plan; Senate-passed bill would combat opioid abuse; health committees work on mental health, Medicare improvement.

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policy

Telehealth Network Grant Program will award up to 20 grants for a maximum of $300,000 annually to expand services; applications are due April 8.

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policy

The guidance, open for a 30-day public comment period, will give providers more clarity on the appropriate use of opioid prescriptions outside of cancer and palliative care; comments are due Jan. 13.

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policy

Obama administration proposal would add drug utilization review and restriction program to Medicare to fight opioid overuse.

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policy

Tool gives physicians, nurses, and other health care professionals access to geographic comparisons of opioid prescribing habits and use.

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