Category Archives: Behavioral Health

Better Communication Key to Lowering Healthcare Costs, Improving Patient Experience: Survey

Strengthening communication between caregivers and patients should be a top priority for reducing healthcare costs and improving patient experience, according to a new poll of U.S. healthcare quality improvement professionals conducted by ASQ, a global network of resources and experts. … finish reading Better Communication Key to Lowering Healthcare Costs, Improving Patient Experience: Survey

Posted in affordable care act, Behavioral Health, Care Coordination, Care Transitions, Healthcare Costs, Healthcare Information Technology, Healthcare IT | Tagged , , , | Leave a comment

EDs Seeing More Patients with Complex, Chronic Conditions, Mental Illness; Fewer Injuries

The rate of emergency department (ED) visits in California for non-injuries has risen while the rate of visits for injuries has dropped, according to a new study led by UC San Francisco that documents the increasing amount of care provided … finish reading EDs Seeing More Patients with Complex, Chronic Conditions, Mental Illness; Fewer Injuries

Posted in Alternative Healthcare Coverage, Avoidable Hospitalization, Behavioral Health, Disease Management, Emergency Room, Hospital Readmissions, Hospital Safety, Hospital Services, Reducing Healthcare Costs | Tagged , , , | Leave a comment

Mental Health Disorders Complicate Standards for Readmissions

Co-existing psychiatric illness should be considered in assessing hospital readmissions for three common medical conditions used by Medicare and Medicaid to penalize hospitals with “excessive” readmission rates: heart failure, acute myocardial infarction (AMI) and pneumonia, according to a new collaborative … finish reading Mental Health Disorders Complicate Standards for Readmissions

Posted in affordable care act, Alternative Healthcare Coverage, Avoidable Hospitalization, Behavioral Health, Cardiac Care, Care Coordination, Hospital Readmissions, Improving Community Care, Improving Patient Care, Reducing Healthcare Costs | Tagged , , , , , , | Leave a comment

Over One-Third of Hospitalization Costs in Low-Income Communities Associated with Behavioral Health

Poverty, behavioral health issues, and poor ambulatory care contributed to more than a third of hospitalization costs in 13 low-income N.J. communities, amounting to $880 million in annual inpatient costs, according to a new Rutgers study. Mental health disorders and … finish reading Over One-Third of Hospitalization Costs in Low-Income Communities Associated with Behavioral Health

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Cultural Competency Between Case Manager and Patient Breeds Engagement, Retention

Communicating with vulnerable patients effectively, whether it’s about medication non-adherence, or simply what is or isn’t working, requires a certain level of cultural competency between the case manager and patient, says Jay Hale, LPC, CEAP, director of quality improvement and … finish reading Cultural Competency Between Case Manager and Patient Breeds Engagement, Retention

Posted in affordable care act, Avoidable Hospitalization, Behavioral Health, Care Coordination, Care Transitions, Case Managers, Case Managers and the Patient Experience, Diabetes, Disease Management, dual eligibles, Elderly Care | Tagged , , , | Leave a comment

BCBS of Illinois Specialty Intensive Medical Home Targets Most Critically Ill

Designed to improve patient access, care coordination and illness management, Blue Cross and Blue Shield of Illinois (BCBSIL) has launched the first specialty intensive medical home (IMH) program in the state with the Illinois Gastroenterology Group (IGG), the state’s largest … finish reading BCBS of Illinois Specialty Intensive Medical Home Targets Most Critically Ill

Posted in Accountable Care Organizations, Avoidable Hospitalization, Behavioral Health, Care Coordination, Case Managers, Clinical Integration, Comprehensive Primary Care Programs, Medical Home | Tagged , , , | Leave a comment

From Diabetes Management to Medical Home Recognition: The Health Coach’s Changing Role

Areas like diabetes management are not just the domain of physicians or case managers; today, health coaches often provide patients with diabetes the necessary tools and resources to manage it, says Alicia Vail, RN, a health coach at Ochsner Health … finish reading From Diabetes Management to Medical Home Recognition: The Health Coach’s Changing Role

Posted in affordable care act, Alternative Healthcare Coverage, Avoidable Hospitalization, Behavioral Health, Care Coordination, Emergency Room, Health Coaching, Medical Home | Tagged , , , , | Leave a comment

Anthem, Hartford Healthcare Renew Value-Based Agreement; Integrate Behavioral Health, Chronic Care Programs

Anthem Blue Cross and Blue Shield and Hartford Healthcare (HHC) have renewed an accountable care agreement designed to broaden their value-based arrangement, create tighter integration and enhance care coordination, according to Hartford Healthcare officials. In addition to their current partnership, … finish reading Anthem, Hartford Healthcare Renew Value-Based Agreement; Integrate Behavioral Health, Chronic Care Programs

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Duals Geriatric Care Management: Melding the Medical, Social and Behavioral

When developing a geriatric care management program for the dually eligible, coordinating social and medical components is key, says Timothy C. Schwab, MD, FACP, former chief medical officer of SCAN Health Plan and president and CEO of Tim Schwab Healthcare … finish reading Duals Geriatric Care Management: Melding the Medical, Social and Behavioral

Posted in Behavioral Health, Care Coordination, dual eligibles, Medicaid, Medicare | Leave a comment

CMS to Test Models for Beneficiary Engagement, Incentives, Behavioral Insights

The Centers for Medicare & Medicaid Services (CMS) are seeking input on models to increase engagement among multiple beneficiary populations in health self-management in order to generate better care and better health at lower costs. The Center for Medicare and … finish reading CMS to Test Models for Beneficiary Engagement, Incentives, Behavioral Insights

Posted in Behavioral Health, Disease Management, Incentives, Medicaid, Medicare, Medication Adherence | Tagged , , | Leave a comment