Ouma Health的动态

A new report highlights one of the most potent reasons why #behavioralhealth is divorced from the rest of the health care system, at least the #hospital system: underpayment. The American Hospital Association shares data showing that on average behavioral health services provided by hospitals — on an inpatient and an outpatient basis —?are paid at rates much lower than they cost to provide them. #addictiontreatment #autism #mentalhealth #managedcare

Thank you, BHBusiness for shining a light on an important topic. As the article suggests, hospitals are not reimbursed nearly enough for their out of pocket costs to deliver behavioral health services, but as the article also wisely notes, outpatient behavioral health services actually fair even worse in terms of reimbursement. Providers being reimbursed $0.32 cents on every dollar it costs to deliver care is unsustainable. For outpatient providers, the federal Certified Community Behavioral Health Clinic (CCBHC) designation offers hope and is a step in the right direction. Although the reporting requirements are significant, the care model is more holistic and the approach to reimbursement incentivizes quality and visit efficiency while determining payment rates using actual costs. We have a long road ahead of us, but at least the federal government recognizes this inequity. Some states (New York, to name one) are also taking matters into their own hands, and are working on improving payor reimbursement for safety-net providers.

The 2021 American Rescue Plan Act allowed states to receive federal matching funds to extend pregnancy-related Medicaid eligibility to twelve months postpartum. In Health Affairs’ April Perinatal Mental Health & Well-Being issue, Sarah Gordon of Boston University and her team of coauthors examine associations between postpartum Medicaid expansion in Colorado and mental health care utilization among low-income people with Medicaid-paid births. The researchers determine that retaining postpartum coverage was significantly associated with increased use of prescription medication or outpatient mental health treatment. They find that “remaining in Medicaid was associated with a 20.5-percentage point increase in the rate of having at least one outpatient mental health visit or filling at least one prescription medication for anxiety or depression in the postpartum year.” Read the full paper: https://bit.ly/4arWqGT

Today is International TAPS Day. Let's take the time to raise awareness about the importance of knowing both the short and long-term outcomes of #TAPS, or #TwinAnemiaPolycythemiaSequence. Educating ourselves and others can ensure that healthcare providers and families are equipped to make informed decisions and provide the best possible care for all twins affected by this #RareDisease. Did you know? TAPS twins have a unique set of complications, including a higher chance of deafness, neurodevelopmental impairment, and perinatal mortality. Find out more about TAPS Support at tapssupport.com

Your employees are parents and have elderly parents who depend on them—therefore they are “caregivers.” CDC research shows caregivers have a 25.6% prevalence of lifetime depression compared to 18.6% for non-caregivers. Smoking rates are also higher among caregivers at 16.6% versus 11.7% for non-caregivers. As the CDC report states, "Strategies for supporting caregivers are available, and integrating these with existing programs to address mental health and chronic diseases among this population might improve caregiver well-being." Offering a family care benefit can lower your healthcare costs as your employee caregivers are better supported. https://lnkd.in/eBHz5tcN

?? New Report: How Acadia Healthcare Traps Patients for Profit ?? A NYT investigation reveals Acadia Healthcare, a major psychiatric hospital chain, has been unlawfully detaining patients to maximize insurance payouts. The company has reportedly held individuals against their will, even when not medically necessary, and pressured staff to justify extended stays. This practice not only violates patient rights but also highlights the dangers of profit-driven healthcare. ?? At Whole Nutrition Services, we are dedicated to ethical, transparent care for our clients in disability group homes. Our commitment to quality nutrition services ensures that vulnerable populations receive the care they need without exploitation. We believe in upholding the highest standards of respect and transparency in all our practices. ?? #PatientRights #EthicalCare #WholeNutritionServices

PRIME exits and American HealthCare Capital exclusively present a South Florida mental health clinic for sale. Licensed through AHCA, the clinic provides psychiatric evaluations, medication follow-ups, individual therapy, and Mental Health Targeted Case Management (TCM) to a diverse client base (80% adult, 20% pediatric). With in-network coverage through Medicaid, Medicare, and private insurance, the clinic also holds licenses to expand into psychosocial rehabilitation, clubhouse services, and physical/occupational therapy—unrealized services that offer significant growth potential. Care options include in-person, home-based, and Telehealth services, ensuring accessibility for all clients. Gross revenue reached $844,891 in 2023, with a forecast of $2.5 million by year-end 2024. Projected growth in 2025 could double revenue to $4-5 million, driven by increased patient demand and limited provider competition. The full staff is expected to remain, and the seller is open to a transitional role. Asking Price: $3 million. Learn more: https://lnkd.in/grzzmQEW For details, contact Ms. Palak Jain at [email protected] or Dr. Allen Nazeri DDS MBA at [email protected]. #MentalHealthClinic #PrimeExits #HealthcareBusiness #MentalHealthForSale #InvestmentOpportunity #SouthFloridaBusiness #MentalHealthCare #HealthcareMergersAndAcquisitions #BehavioralHealth #MedicareAndMedicaid #PsychiatricServices #RevenueGrowth #HealthcareInvestments #ExpansionOpportunity #MentalHealthServices #BusinessAcquisition #HealthcareIndustry

Assessing for risk factors are imperative in all areas of practice!

The ongoing hospital crisis in Ontario, exacerbated by staff shortages and delays in care due to the COVID-19 pandemic, has highlighted the urgent need to address the challenges faced by Alternate Level of Care (ALC) patients. These individuals no longer require hospital-level care but remain hospitalized due to a lack of suitable community settings with necessary supports for discharge. Among the most vulnerable to this issue are individuals with developmental disabilities who also have a psychiatric condition, often referred to as a dual diagnosis. This group faces a significantly higher risk of becoming ALC patients and, in some instances, endure extended hospital stays, which can lead to adverse outcomes for them and treatment delays for other patients in need of hospital care. CAMH’s H-CARDD team conducted a cross-sectoral project to identify the fundamental principles and core components necessary for the successful transition of adults with a dual diagnosis who are currently ALC patients in hospitals, into community settings. Read the full report here: https://lnkd.in/gyvhDfPu #BrainAwarenessWeek #BAW2024

#BRAINTEASER #CommunityofPractice stories ?? ? #Patients with #AmyotrophicLateralSclerosis face gradual loss of #motorfunction that significantly impacts the quality of their daily life. In parallel, family members often become the primary #caregivers for #ALS patients, assuming the responsibility for their daily care and well-being. ? Navigating the challenges of #ALS requires a comprehensive approach that addresses both the physical and psychosocial aspects of the disease. From the initial diagnosis to the end-of-life stages, tailored #psychosocialsupport is essential for enhancing the well-being of patients and their caregivers. ?? Read more: https://lnkd.in/dJhBeiFm ? And JOIN US: https://lnkd.in/dj7GHNSG #HorizonEurope European Health and Digital Executive Agency (HaDEA)