Behavioral/Mental Health and SUD
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State Community Health Worker Models
/in Policy Maps Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health System Costs, Long-Term Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home Community Health Workers /by NASHPCommunity Health Worker Models in Evolving State Health Care Systems
/in Policy Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health System Costs, Long-Term Care, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home /by Jackie LeGrandCommunity health workers (CHWs) are often employed to improve health equity, cultural competency, health literacy and access to care, among other issues. Because they have such varied roles, there are many definitions of CHWs; however, they are commonly identified by their in-depth understanding of the population they serve. On a recent State Refor(u)m webinar, speakers […]
Community Health Worker Models in Evolving State Health Care Systems
/in Policy Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Long-Term Care, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home /by NASHP and Jackie LeGrandCommunity health workers (CHWs) are often employed to improve health equity, cultural competency, health literacy and access to care, among other issues. Because they have such varied roles, there are many definitions of CHWs; however, they are commonly identified by their in-depth understanding of the population they serve. On a recent State Refor(u)m webinar, speakers […]
Shaking Up the Delivery of Traditional Mental Health Services
/in Policy Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health System Costs, Physical and Behavioral Health Integration, Primary Care/Patient-Centered/Health Home, Workforce Capacity /by Mary TakachSeveral primary health care organizations (PHCOs) that I have spoken with in the states and in Australia during my 10-month fellowship have established a central referral point or “one stop shop” to help primary care practices connect their patients to community-based mental health and/or substance abuse services. These referral centers can take the load off […]
Population Health Components of State Innovation Model (SIM) Plans: Round 2 Model Testing States
/in Policy Accountable Health, Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Social Determinants of Health /by NASHP*Chart updated March 6, 2015 The Round Two State Innovation Model (SIM) Test Awards granted by HHS to eleven states (Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Rhode Island, Ohio, Tennessee, and Washington) support state efforts to build multi-payer models of health system transformation. As noted in a previous analysis, population health improvement is […]
The State of State Health Policy: Governors’ 2015 State of the State Addresses
/in Policy Reports Behavioral/Mental Health and SUD, Chronic and Complex Populations, Community Health Workers, Cost, Payment, and Delivery Reform, Health System Costs, Healthy Child Development, Long-Term Care, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health /by NASHPGovernors across the nation have laid out their priorities for the coming year as part of their State of the State addresses. NASHP summarizes the 44 addresses given to date. Seven governors discussed health insurance exchanges, 13 health care costs, and nine addressed issues related to a culture of health. Individual governors also addressed issues […]
Transforming the Workforce to Provide Better Chronic Care: The Role of a Community Health Nurse in a High-Utilizer Program in Oregon
/in Policy Oregon Reports Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Physical and Behavioral Health Integration, Population Health, Workforce Capacity /by Mary TakachPart 5 in the Transforming the Workforce to Provide Better Chronic Care: The Role of Registered Nurses series. Click to see the rest of the series. Yamhill Community Care Organization (YCCO), one of 16 coordinated care organizations in Oregon, utilizes a community health nurse to manage its Community HUB program, which helps “super-utilizer” patients more […]
A Day in the Life of Community Health Nurse Emily Williamson
/in Policy Oregon Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Workforce Capacity /by NASHP StaffDeveloping a coordinated care organization in northwest Oregon’s Yamhill County presented an opportunity to build an organization that reflected the community’s vision for high-quality, more efficient, integrated care for Medicaid beneficiaries. When assessing the needs of the community, it became clear to Yamhill Community Care Organization’s (YCCO’s) Clinical Advisory Panel (CAP) that a small percentage […]
A Day in the Life of Behavioral Health Nurse Care Coordinator Amber Morgan of Hennepin Health
/in Policy Minnesota Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Long-Term Care, Physical and Behavioral Health Integration, Primary Care/Patient-Centered/Health Home, Workforce Capacity /by NASHP StaffCaring for the health care needs of vulnerable populations has inherent challenges. Doing this in an accountable care organization (ACO), where providers bear financial risk for meeting cost, quality, and patient satisfaction metrics, intensifies the challenges. When Hennepin Health launched in 2012 to serve as a safety-net ACO for Minnesota’s early Medicaid expansion population, it […]
Opportunities for Enrolling Justice-Involved Individuals in Medicaid
/in Policy Behavioral/Mental Health and SUD, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, Physical and Behavioral Health Integration, Safety Net Providers and Rural Health /by Anita CardwellHealth insurance options now available through the Affordable Care Act (ACA) offer new opportunities to enroll individuals involved in the criminal justice system into coverage. In states that have expanded Medicaid, many newly eligible will be young, low-income males, some with involvement with the criminal justice system. Justice-involved individuals especially could benefit from coverage as […]
For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 
Harm Reduction in the COVID-19 Era: States Respond with Innovations
/in COVID-19 Blogs, Featured News Home Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, COVID-19, Health Equity, Population Health /by Mia Antezzo, Eliza Mette and Jodi ManzDespite COVID-19 workarounds, such as telehealth and virtual recovery programs enabled by flexible federal guidelines, more than 40 states have reported increases in drug overdoses during the pandemic, underscoring the importance of keeping state harm reduction programs as accessible as possible. As COVID-19 upends the nation’s health care systems, treatment for substance use disorder (SUD) […]