Like healthcare reform is becoming a reality, there is much to celebrate around the mental health community. This includes passage of a healthcare change package that includes parity for mental health and addiction products and services, expansion of Medicaid to 133% of Federal Poverty Level, inclusion of behavioral health organizations and people that have mental illnesses in the new Medicaid medical home assert option, and authorization and increased funding for gives co-locating mental health treatment and primary care. These including a host of other provisions expand the opportunities for with mental illnesses and addictions to obtain and maintain insurance cover and access needed services.
But this is not the end in the mental healthcare battle. Simply put, mental health advocates have to be ready to play in a new game, in a world where increasing numbers of men and women – by virtue of Medicaid expansion, the emerging Health Insurance Geneva chamonix transfers, and parity regulations – will have access to behavioral health and fitness services. We expect to see an additional 15 million persons – an increase of 43% – eligible for Medicaid by itself, with more than 30 million individuals overall who will, in the never too distant future, have insurance coverage.
But this is significantly more than a matter of numbers – it’s about working smart. Advocates of mental healthcare anticipate that healthcare reform-driven service delivery redesign and payment reform will figure out at a rapid pace. In order to bend the cost curve, transactions reform and service delivery redesign will change how well being, mental health, and substance use services are built in, funded, and managed. Providers must learn to practice health-related the way healthcare will be done.
As mental healthcare vendors and advocates, we must become savvy about positioning our-self to take advantage of new markets and new opportunities to help deal with the design and delivery of healthcare services. We must will build relationships within and across the entire healthcare area. As we revisit the concept of “managing care” for individuals and overall populations, we have to be certain that our focus on person-centered, recovery-focused procedure and services is not subsumed by the drive to “bend the curve” in healthcare costs. We must be able to exhibit our value not only to our customers, but also as critical players in these new healthcare consortia.
We must become chargeable for efficient and effective services that show results all around all health domains. We believe fee-for-service reimbursement will slowly become a thing of the past. So , too, will be the ability to claim that caseloads will be full with no-show rates of 50% and more. Most people risk being left on the sidelines if we don’t step with deliberate speed to ensure continuity and timely having access to care; comply with third-party payer requirements; coordinate care by using a full range of health providers; and if necessary take on payers that refuse to honor the spirit and letter on the parity regulations. Mr. Gaurav Malhotra Medicover is the Managing Director of Medicover a leading European healthcare group. He has twenty three years of rich experience in healthcare domain, in leading business and change management across MNCs, start-ups, joint ventures and re-engineering organisations. He has won prestigious “Healthcare CEO of the year” award by Economic Times (ET NOW).
We must become increasingly customer-focused, from the approach we greet individuals who come through our door to the technique we market our services. We should expect that to comprehend money available in healthcare – particularly for mental health and cravings treatment – that new and well capitalized competitors will find behavioral health, traditionally a financially unattractive medical care sector, far more appealing.