State strategies for integrating physical and behavioral health services in a changing Medicaid environment

State strategies for integrating physical and behavioral health services in a changing Medicaid environment

Collection:
Health Policy and Services Research
Author(s):
Bachrach, Deborah, author
Anthony, Stephanie, author
Detty, Andrew, author
Contributor(s):
Commonwealth Fund, issuing body.
Publication:
[New York, N.Y.] : Commonwealth Fund, August 2014
Language(s):
English
Format:
Text
Subject(s):
Delivery of Health Care, Integrated -- organization & administration
Health Services Accessibility -- organization & administration
Medicaid -- trends
Mental Health Services -- organization & administration
Primary Health Care -- organization & administration
State Government
United States
United States.
Genre(s):
Technical Report
Abstract:
States across the country are promoting integrated care delivery as part of their efforts to deliver high-quality, cost-effective care to Medicaid beneficiaries with comorbid physical and behavioral health conditions. The Medicaid expansion authorized by the Affordable Care Act (ACA) brings greater import to these efforts, as millions of uninsured low-income adults, many at increased risk for behavioral health conditions, gain coverage and states are required to provide behavioral health services and meet federal parity laws. State efforts to ensure that Medicaid beneficiaries have access to integrated care, however, are hindered by a fragmented behavioral health system that is administered and regulated by multiple state agencies and levels of government, and by purchasing models that segregate behavioral health services from other Medicaid-covered services. Drawing on a review of the literature and interviews with diverse stakeholders, this report explores strategies states are deploying to address or eliminate system-level barriers to integrated care for this medically complex and high-cost Medicaid population.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
Extent:
1 online resource (1 PDF file (20 pages))
NLM Unique ID:
101642252 (See catalog record)
Permanent Link:
http://resource.nlm.nih.gov/101642252