Description
The Affordable Care Act, parity, Medicaid expansion, and new market and customer forces are ushering in an era of powerful change in how healthcare is accessed, delivered, and paid for. Behavioral health coverage will expand to 62 million Americans in 2014. It’s not going to be business as usual. Mental health and addictions treatment organizations must gear up to meet greatly increased demand, competition, and performance standards. They must quickly and effectively address access to care and service delivery changes. They must develop integrated systems of care to look at the whole person’s needs and must demonstrate the ability to bend the cost curve through early intervention and preventive care. They must learn to work with new third-party payers as financing of uninsured populations shifts to public-private partnerships that build upon commercial insurance products. In Operationalizing Health Reform, expert consultants from the MTM Services walk behavioral health teams through the maze of preparing for service delivery and payment changes. The book provides hands-on perspectives and tips on all aspects of health reform from practice changes and outcomes measurement to leadership essentials and customer service.