Move Forward Counseling, LLC的动态

According to an?RTI International?out-of-network use of mental health providers was nearly 20 times more for certain behavioral inpatient care than use for medical and surgical treatment. Additionally in-network office reimbursements were 22% higher on average for medical and surgical clinicians that office visits with behavioral clinicians. It is more important than ever for employers to carefully consider whether their plan is providing truly equitable access to behavioral healthcare in compliance with parity requirements. Eye opening read from?Sara Hansard, senior reporter at?Bloomberg Industry Group. #benefits?#mentalhealth?#Smallbusiness

Fraud and Private Duty Home Care There’s a common misconception among Private Duty and home care providers that federal false claims and anti-kickback statutes only apply to Medicare-certified providers. In reality, these laws extend to providers receiving funds from any state or federal health care program, including Medicaid, Medicaid waiver programs, the VA, TRICARE, and more. Private Duty providers: This means many of you! For example, four Private Duty company owners in Pennsylvania were recently ordered to pay $54 million in restitution. Fraud and abuse enforcers continue to emphasize the importance of Private Duty providers establishing internal compliance programs, and in some cases, have mandated it. In this program, led by Elizabeth Hogue, Esq., participants will gain essential insights into: ·????How compliance programs help providers avoid enforcement actions. ·????Cost-effective strategies for developing and implementing compliance programs. ·????Best practices for effectively managing a corporate compliance program. ·????Key steps Private Duty providers must take to maintain ongoing compliance. This program provides 1.0 continuing education unit (CEU) for skilled nursing, occupational therapy, and speech-language pathology and audiology. Access the recording for $49 for prospective members or $39.80 for members, who benefit from a 20% discount on online training year-round using our monthly promo code. Message for the October promo code! https://lnkd.in/g4DHbTUq #hcaf #homecare #homehealth #healthcare #education #ceus #continuingeducation #HCAFeLearning #Florida #privateduty #Medicare #Medicaid Home Care Association of Florida

Illinois’ new Medicaid demonstration program that supports facilities that provide comprehensive, around-the-clock behavioral healthcare and substance abuse treatment is set to begin in October. [Health News Illinois] Kristine Herman, chief of the behavioral health bureau at the Department of Healthcare and Family Services, told members of the Medicaid Advisory Committee that they are working on a “robust communication and technical assistance strategy” to ensure all participating clinics can begin offering the necessary services by Oct. 1. [Health News Illinois] The initial?19 mental health and substance use treatment providers?in the demonstration program must provide care coordination, 24/7 access to crisis services and serve all patients, regardless of their ability to pay. “These agencies will serve anyone who comes through their doors, regardless of the individual's insurance status, and they're going to ensure that these individuals have access to a very broad array of mental health, substance use, recovery, and physical health screening services, as well as referrals and coordination with any other services that the individual may need,” Herman said. More> https://lnkd.in/gvbgG5Ec #achieve #blackleadership #latinoleaders #mentalhealth #behavioralhealth #publichealth #populationhealth #communityhealth #medicine #healthcare #dental

Let's go, Boston Globe! ?? The collaborative care model improves health care quality, lowers costs, and reduces provider burden... it results in happier providers and happier, healthier patients. It deserves a spotlight and we're so grateful to see it getting one. Boston Globe's article also acknowledged the difficulty of organizational change: "Transforming the practice of medicine is never simple, but there are?resources?available to help doctors implement collaborative care. More physician practices should take that leap." That's the very reason why, at Mirah, we're more than a tech solution. We are delighted to be linked to here but, more importantly, to see the relentless hard work of our partners highlighted - The Brookline Center for Community Mental Health, Dr. Wayne Altman and Family Practice Group, and our own Jessica Lyons MS, LMFT. They are changing lives every day. The question is no longer whether collaborative care works - it's 'why aren't more practices doing it?' Let's fix that. https://lnkd.in/eu8Kf4PM #CollaborativeCare #CollaborativeCareModel #BostonGlobe - Ian Lang - Boston Globe Media

An article recently published in the LA Times reported that Blue Cross and Blue Shield of Georgia informed its members that they will not pay the claim for individuals who are treated in the Emergency Room (ER) for a problem later deemed to have not been an emergency. Really? The notice used clarifying language like “prudent layperson” and “average knowledge of medicine and health”, but who makes that determination? Should it be made by insurance company executives? (link to article : https://lnkd.in/dywgkTcM) “Patients don’t come with a sticker on their forehead saying what the diagnosis is,” said Renee Hsia of the Institute for Health Policy Studies at UC San Francisco, who has studied the difficulty of making snap diagnoses at the ER. “We as physicians can’t always distinguish necessary from unnecessary visits.” #healthcare #providers #emergencyroom #rcm #medicalbills #neurosurgeons #hospitals #ASC #Surgical #Facility

Expanding Street Medicine Services in FQHCs Center for Health Care Strategies explores how Federally Qualified Health Centers are incorporating street medicine into their services. This expansion aims to reach underserved populations directly, providing essential care to those who need it most. #StreetMedicine #FQHCs #HealthAccess https://hubs.la/Q032-S_S0

Integration of behavioral and physical health isn’t just a concept – it's a reality enabled by technology. Array Behavioral Care's unified clinical platform, built on Epic and optimized for virtual behavioral health, allows providers to share data and collaborate seamlessly across acute, outpatient, and home settings. Learn more about their integrated care in action through specific examples and use cases. https://hubs.li/Q033N9YR0

????***Sucess Story*** ???? Nothing like starting out the new year with a great win. How does Walk On Clinic measure success? Not everything has to do with $$$ or does it? Please meet “Rosie”; Wink wink we don’t treat and tell but I have her permission to share. Rosie came to our clinic because she was not feeling well. Clinical team got to work and discovered an alarming A1C and blood sugar levels. We also discovered that diabetes runs in her family. After just a few appointments with our clinic; which cost her $0 even though she has NO insurance, she has now started her road to recovery. Our amazing team not only provided her extra time and education, facilitated her in accessing cash discounts on her medications, but I personally drove 3.5 hrs to deliver a complimentry glucose meter with all the supplies needed for her to monitor levels at home. We are also happy to report that she has even lost 10 lbs through eating more nutritious. ?? Here is my message to every #HR #CEO #CFO There are “Rosies” in every company! With the serious access issues to quality primary care we have in #Florida these scenarios are on the rise. There is a solution and many times it can cost you nothing. Happy to schedule time with any employers who want to help their employees in a unique and big way. Our Hybrid Healthcare model is the best benefit I have ever represented in 25 years of working in #employeebenefits ????????????. Chris Yarn Stephanie Koch, SCP-SHRM, SPHR, CHVA Kerri Milan Thomas Deyoe Michael Costello Yvette M. Best EdD CCP SPHR SHRM-SCP Alex Fernandez HealthEZ Imagine360 Angela Montemarano Sarah Cato Yilda Marte PHR, SHRM-CP HR Florida State Council, Inc. #DPC #Onsiteclinics #onsiteclinics #primarycare #hybridhealthcare #advancedprimarycare

I walk a very fine line every day, and recent posts about the tragic assassination of a CEO of a major health plan have been a stark reminder of that balance. The majority of my career has been spent either working for a health plan or closely with them. Yet, in my personal life, I’ve witnessed firsthand the barriers to care that these organizations can create. Fortunately, my insider knowledge proved invaluable during my daughter’s journey navigating the healthcare system while facing a chronic, undiagnosed rare disease. ?? I leveraged what I knew about health plans—things that most people understandably don’t know or even have access to. For example, when her out-of-network care was initially denied, I didn’t just resubmit the appeal. Instead, I relied on my knowledge of the standards health plans must meet for specialist access (# of miles to a persons home for a particular specialist) and the clinical guidelines they follow. I did my research and demonstrated that the specific care she needed by a very specialized surgeon wasn’t available within a certain mile radius of our home, which forced them to approve the out-of-network care. I also understood the role of case managers—how they can advocate for patients and even grant one-time exceptions to work outside the rigid “black-and-white” guidelines. Health plans employ many compassionate nurses, physicians, and other healthcare professionals who want to help, but they’re often bound by clinical guidelines, yet we know that approach often oversimplifies the complexity of medical conditions. Still, it shouldn’t take a mom who’s a nurse with a career in health plans to navigate the system. Accessing necessary care shouldn’t be this complicated for anyone. The process must become simpler and more transparent so that every family has a fair chance, regardless of their background or expertise. I don’t know the answer. I certainly am grateful for the experience we had and not going into tens of thousands of dollars worth of medical debt. I do know that when I saw a recent post showing the CEO salaries of the largest #healthplans today I felt ill. How much unnecessarily denied treatment could those tens of millions have covered?? ?? #denials #oon #utilizationmanagement #casemanagement #um #cm #rarediseaseadvocate #eds #ehlersdanlossyndrome #mals #nutcrackersyndrome #vascularcompressions