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Posts tagged with "behavioral health services"

Arizona News

NCQA Announces Partnership with AHCCCS on Targeted Investments 2.0

This week, the National Committee for Quality Assurance (NCQA) announced a partnership with the Arizona Health Care Cost Containment System (AHCCCS) to support participants in the Targeted Investments (TI) 2.0 Program. The partnership pledges to support health equity accreditation by addressing health disparities on the population...
Arizona News

Issue Brief: States Mental Health Protection Laws – A Complex Landscape

The Mental Health Parity and Addiction Equity Act is a critical federal safeguard, ensuring Americans do not face greater challenges in accessing behavioral health services than they do for other medical care. Enforcing this law presents complexities, leading to inconsistent compliance among health insurers. While federal law mandates...
National News

STUDY: Integrated Managed Care Not Associated With Clinical Improvements

An investigation in the JAMA Health Forum suggests that integrated managed care (IMC) organizations, which are Medicaid managed care programs that are required to pay for behavioral health services, have yet to demonstrate positive changes in the quality of health services. The study used data from the state of Washington's staggered...
Arizona News

Behavioral Healthcare Use Up Since Pandemic - Clinicians in Short Supply in Arizona & Nationwide

Demand for mental healthcare is up across the country, especially in Arizona, but there aren't enough specialists to meet the population's needs. One reason for the lack of access: providers are choosing to not accept health insurance due to low reimbursements, and insurance companies require high volumes of paperwork and often enjoin...
CMS Rules

CMS Releases CY2023 PFS With Big Changes to MSSP

The Centers for Medicare and Medicaid Services (CMS) has released the Calendar Year (CY) 2023 Physician Fee Schedule (PFS) final rule that reduces payments by almost 4.5% YOY and includes substantive changes for ACOs in the Medicare Shared Savings Program, expands access to behavioral health services, and decreases the conversion factor...
PFS Proposed Rule includes MSSP Changes Benchmarks to Encourage Participation, Advance Equity CMS Rules

PFS Proposed Rule includes MSSP Changes Benchmarks to Encourage Participation, Advance Equity

Last Thursday, the Centers for Medicare and Medicaid Services (CMS) published the proposed 2023 physician fee schedule (PFS) which included an overhaul to the agency's strategies on accountable care organizations (ACOs) through the Medicare Shared Savings Program (MSSP). In February, CMS pulled the Accountable Care Organizations...
Arizona News

White House Unveils Blueprint for Addressing Maternal Health Crisis

On Friday, June 24, the White House released the Biden administration's "Blueprint for Addressing the Maternal Health Crisis," which outlines a plan to confront the U.S. maternal mortality and morbidity crisis, boost health coverage and provide behavioral health services for expecting and new mothers. Under President Biden and Vice...
CMS Rules

CMS Moves to Expand Health Equity, Telehealth for Behavioral Health Services Through 2022 Physician Fee Schedule

The Centers for Medicare & Medicaid Services (CMS) included provisions to expand reimbursement for telehealth services for mental and behavioral health care in the proposed 2022 Physician Fee Schedule released Tuesday. The proposal includes paying providers for audio-only services. Telehealth use was widely expanded by CMS...
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