Literature Collection

441

Pharmacologic management of bipolar disorder in a medicare advantage population

Type: Journal Article

Authors: H. Huang, J. L. Goren, Y. F. Chan, W. Katon, J. Russo, D. Hogan, J. Unutzer

Year: 2014

Publication Place: England

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442

Physical and Behavioral Health Integration: State Policy Approaches to Support Key Infrastructure

Type: Report

Authors: Kitty Purington, Charles Townley

Year: 2017

Publication Place: Portland, ME

Topic(s):

,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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443

Physician coding for mental illness reimbursement and the need for mental health parity

Type: Web Resource

Authors: V. Nicholson

Year: 2007

Publication Place: United States -- Texas

Abstract: Many patients with anxiety and depression initially seek treatment from their primary care physicians. Changes in insurance coverage and current mental parity laws, make reimbursement for services a problem. This has led to a coding dilemma for physicians seeking payment for their services. This study seeks to determine first the frequency at which primary care physicians use alternative coding, and secondly, if physicians would change their coding practices, provided reimbursement was assured through changes in mental parity laws. A mail survey was sent to 260 randomly selected primary care physicians, who are family practice, internal medicine, and general practice physicians, and members of the Harris County Medical Society. The survey evaluated the physicians' demographics, the number of patients with psychiatric disorders seen by primary care physicians, the frequency with which physicians used alternative coding, and if mental parity laws changed, the rate at which physicians would use a psychiatric illness diagnosis as the primary diagnostic code. The overall response rate was 23%. Only 47 of the 59 physicians, who responded, qualified for the study and of those 45% used a psychiatric disorder to diagnose patients with a primary psychiatric disorder, 47% used a somatic/symptom disorder, and 8% used a medical diagnosis. From the physicians who would not use a psychiatric diagnosis as a primary ICD-9 code, 88% were afraid of not being reimbursed and 12% were worried about stigma or jeopardizing insurability. If payment were assured using a psychiatric diagnostic code, 81% physicians would use a psychiatric diagnosis as the primary diagnostic code. However, 19% would use an alternative diagnostic code in fear of stigmatizing and/or jeopardizing patients' insurability. Although the sample size of the study design was adequate, our survey did not have an ideal response rate, and no significant correlation was observed. However, it is evident that reimbursement for mental illness continues to be a problem for primary care physicians. The reformation of mental parity laws is necessary to ensure that patients receive mental health services and that primary care physicians are reimbursed. Despite the possibility of improved mental parity legislation, some physicians are still hesitant to assign patients with a mental illness diagnosis, due to the associated stigma, which still plays a role in today's society.

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, , , ,

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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444

Physician Practices and Readiness for Medical Home Reforms: Policy, Pitfalls, and Possibilities

Type: Journal Article

Authors: John M. Hollingsworth, Sanjay Saint, Joseph W. Sakshaug, Rodney A. Hayward, Lingling Zhang, David C. Miller

Year: 2011

Publication Place: United Kingdom

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445

Policies related to opioid agonist therapy for opioid use disorders: The evolution of state policies from 2004 to 2013

Type: Journal Article

Authors: R. M. Burns, R. L. Pacula, S. Bauhoff, A. J. Gordon, H. Hendrikson, D. L. Leslie, B. D. Stein

Year: 2016

Publication Place: United States

Abstract: BACKGROUND: State Medicaid policies play an important role in Medicaid enrollees' access to and use of opioid agonists, such as methadone and buprenorphine, in the treatment of opioid use disorders. Little information is available, however, regarding the evolution of state policies facilitating or hindering access to opioid agonists among Medicaid enrollees. METHODS: During 2013-2014, we surveyed state Medicaid officials and other designated state substance abuse treatment specialists about their state's recent history of Medicaid coverage and policies pertaining to methadone and buprenorphine. We describe the evolution of such coverage and policies and present an overview of the Medicaid policy environment with respect to opioid agonist therapy from 2004 to 2013. RESULTS: Among our sample of 45 states with information on buprenorphine and methadone coverage, we found a gradual trend toward adoption of coverage for opioid agonist therapies in state Medicaid agencies. In 2013, only 11% of states in our sample (n = 5) had Medicaid policies that excluded coverage for methadone and buprenorphine, whereas 71% (n = 32) had adopted or maintained policies to cover both buprenorphine and methadone among Medicaid enrollees. We also noted an increase in policies over the time period that may have hindered access to buprenorphine and/or methadone. CONCLUSIONS: There appears to be a trend for states to enact policies increasing Medicaid coverage of opioid agonist therapies, while in recent years also enacting policies, such as prior authorization requirements, that potentially serve as barriers to opioid agonist therapy utilization. Greater empirical information about the potential benefits and potential unintended consequences of such policies can provide policymakers and others with a more informed understanding of their policy decisions.

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446

Policies Should Promote Access to Buprenorphine for Opioid Use Disorder

Type: Government Report

Authors: Pew Charitable Trusts

Year: 2021

Publication Place: Philadelphia, PA

Topic(s):

, ,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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447

Policy Actions To Achieve Integrated Community-Based Mental Health Services

Type: Journal Article

Authors: Mary DeSilva, Chiara Samele, Shekhar Saxena, Vikram Patel, Ara Darzi

Year: 2014

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448

Policy challenges in building the medical home: Do we have a shared blueprint?

Type: Journal Article

Authors: R. J. Stenger, J. E. DeVoe

Year: 2010

Abstract: BACKGROUND: The notion of a patient-centered medical home features prominently in policy reform initiatives across the country, with both state and federal legislation focusing on this new model. We sought to understand the views of key stakeholders and to examine the challenging landscape facing policymakers and practitioners as they attempt to translate the medical home concept into widespread practice change. METHODS: We reviewed legislative documents from state legislative sessions in the year 2007 to identify pieces of legislation that included the medical home concept. Concurrently we conducted an in-depth qualitative analysis of de-identified field notes from a purposeful sample of semistructured interviews conducted with key stakeholders in Oregon after the passage of health reform legislation in 2007. RESULTS: Legislation that further defined and expounded on the medical home concept was introduced in states across the country in 2007, and some federal and state demonstration projects were already underway. However, we identified a number of barriers to widespread implementation of the medical home, most notably lack of a clear operational definition. Key stakeholders had widely disparate views about elements central to the success of medical home demonstrations, including delivery system reform, payment reform, and performance incentives for providers. CONCLUSIONS: Since 2007 the concept of the medical home has gained increasing attention in health care reform debates. Our findings suggest that translating this concept into successful, widespread reform will require that policymakers build further consensus among key stakeholders and require them to address critical barriers to avoid repeating pitfalls of past reform efforts.

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449

Policy Change to Promote Early Relational Health

Type: Government Report

Authors: Center for the Study of Social Policy

Year: 2022

Publication Place: Washington, DC

Topic(s):

,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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450

Policy perceptions of US state public health and child and family services regarding maternal opioid use and neonatal exposure

Type: Journal Article

Authors: Lisa Fath Scott, Cynthia Stone, Joan Duwve

Year: 2019

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451

Polysubstance Use Disorders in Four State Medicaid Programs

Type: Report

Authors: Julie M. Donohue, Susan Kennedy, Logan Sheets

Year: 2021

Publication Place: Washington, D.C.

Topic(s):

, ,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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452

Population-based care of depression: Effective disease management strategies to decrease prevalence

Type: Journal Article

Authors: W. Katon, M. Von Korff, E. Lin, J. Unutzer, G. Simon, E. Walker, E. Ludman, T. Bush

Year: 1997

Publication Place: UNITED STATES

Abstract: This paper reviews the concepts of population-based care and disease management of major depression. Population-based care and disease management strategies motivated by health care reform provide approaches for organizing health services to lower the prevalence of common medical and psychiatric illnesses in primary care populations. We apply these concepts to the organization of services for patients with major depression.

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453

Position Statements on Addressing Social Isolation, Loneliness,and the Power of Human Connection

Type: Government Report

Authors: J.C. Badcock, J. Holt-Lunstad, E. Garcia, P. Bombaci, M.H. Lim

Year: 2022

Publication Place: Livingston, AL

Topic(s):

,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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454

Positioning Behavioral Health for Health Care Reform: A Framework for Action FY11-FY14

Type: Government Report

Authors: New Mexico Behavioral Health Collaborative

Year: 2010

Publication Place: NM

Topic(s):

, , ,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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455

Postincarceration Fatal Overdoses After Implementing Medications for Addiction Treatment in a Statewide Correctional System

Type: Journal Article

Authors: T. C. Green, J. Clarke, L. Brinkley-Rubinstein, B. D. L. Marshall, N. Alexander-Scott, R. Boss, J. D. Rich

Year: 2018

Abstract: As the epidemic of opioid use in the United States continues to shift from prescription opioids to illicit drugs, more people living with opioid use disorder are encountering the criminal justice system. Most US correctional facilities do not continue or initiate medications for addiction treatment (MAT). This is especially unfortunate given the higher rates of opioid overdose immediately after release from incarceration.

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456

Potential Usefulness of Apps and Other Digital Technologies for Improving Access to Behavioral Health in Primary Care

Type: Report

Authors: The Academy for Integrating Behavioral Health & Primary Care

Year: 2023

Publication Place: Rockville, MD

Topic(s):

, ,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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457

Practice-based care coordination: A medical home essential

Type: Journal Article

Authors: J. W. McAllister, E. Presler, W. C. Cooley

Year: 2007

Publication Place: United States

Abstract: Families who raise children and youth with special health care needs deserve a medical home. They expect a team approach to health care, with coordination across multiple services and settings. Children, youth, and families benefit from the organization of critical information into written care summaries and action plans. If primary care pediatricians, family physicians, and internists are to achieve optimal health care quality and improvement of existing health care delivery, care coordination will be an essential contributing process to their team approach. Several national health policy recommendations identify care coordination as a cross-cutting intervention to fill the gap between what exists and what is needed in health care today. A practice-based care-coordination model, including a definition and vision for care, a framework of structures and processes, and a position description with specific competencies, is needed. Improvement methodology provides an effective means for health care teams to implement and evaluate practice-based care coordination within their medical home. The improvement approach and model must be flexibly applied to have utility across diverse health care organizations. A medical home team approach, with fully developed practice-based care-coordination services, will enhance health and cost outcomes for children, youth, and families and heighten the professional satisfaction of those delivering health care.

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458

Pregnant and Postpartum Women and Behavioral Health Integration

Type: Report

Authors: The Academy for Integrating Behavioral Health & Primary Care

Year: 2022

Publication Place: Rockville, MD

Topic(s):

, , , ,

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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459

Prescribed and Penalized: The Detrimental Impact of Mandated Reporting for Prenatal Utilization of Medication for Opioid Use Disorder

Type: Journal Article

Authors: E. C. Work, S. Muftu, K. D. L. MacMillan, J. R. Gray, N. Bell, M. Terplan, H. E. Jones, J. Reddy, T. E. Wilens, S. F. Greenfield, J. Bernstein, D. M. Schiff

Year: 2023

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460

Prescription Drug Monitoring Programs: Evidence-based Practices to Optimize Prescriber Use

Type: Report

Authors: The Pew Charitable Trusts

Year: 2016

Publication Place: Washington, DC

Topic(s):

, ,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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