Content by Keyword: Health Services

This report describes the different strategies that four states--Louisiana, North Carolina, Tennessee and Vermont--are utilizing to improve the integration and coordination of care for individuals with mental health and substance use disorders. These strategies include introducing new managed care arrangements and care coordination mechanisms,

This report describes the RAND Corporation’s evaluation of the Substance Abuse and Mental Health Services Administration’s (SAMHSA’s) Primary and Behavioral Health Care Integration (PBHCI) grants program. The PBHCI grants were designed to improve the overall wellness and physical health status of people with serious mental illness and/or

The growth in both the prevalence and spending on chronic diseases in the U.S. population has trigged an increased appreciation of the potential for preventive services as important strategies to delay or avoid the development of harmful and costly conditions. This report reviews a broad variety of approaches to estimating the health and economic

The Affordable Care Act ensures that most insurance plans (so-called ‘non-grandfathered’ plans) provide coverage for and eliminate cost-sharing on certain recommended preventive health services, beginning on or after September 23, 2010. This includes services such as colonoscopy screening for colon cancer, Pap smears and mammograms for women,

As the largest payer of mental health services in the United States, Medicaid programs have an opportunity to promote high-quality care for serious and persistent mental illnesses (SPMI) through the use of reimbursement strategies and policies that encourage the delivery of evidence-based practices (EBPs). These EBPs, which include pharmacologic,

This report is intended to describe sources of payment for behavioral health providers and types of payments (methods, units, adjustments and updates) made to inpatient, outpatient, independent practitioners, and other providers of behavioral health services. A significant focus of this report describes these same factors in terms of Medicare and

To sharpen the focus on the differential need of children with disabilities, this paper focuses on a subset of health-related services that are used almost exclusively by children with disabilities--supportive services. The basic finding is that policies focused on low-income children will reach the majority of children with disabilities who have

This compendium is published by the Division of Children and Youth Policy within the Office of the Assistant Secretary for Planning and Evaluation, of the U.S. Department of Health and Human Services. It summarizes the results of the Division's research projects from 1986 through the present. The role of research within the Division is to produce

This report focuses on adults with severe mental illness (SMI) served by the public mental health system. It aims to identify and describe the range of self-directed care programs for this group currently being pursued by states and bring together existing evidence relating to the impact of these programs on individuals and on state resources. In

The 1982 and 1984 National Long-Term Care Surveys (NLTCS) are household surveys of functionally impaired Medicare beneficiaries age 65+. The 1989 NTLCS is a resurveying of this population. The surveys have been a joint venture of several agencies: the Census Bureau collects the data from impaired elderly; the National Opinion Research Center surve

Past studies by federal agencies examined the impact of the Balanced Budget Act of 1997 policies on beneficiaries and providers. While documenting changes in the supply of home health agencies (HHAs), these studies concluded that agency closings did not cause a shortage of Medicare home health providers and that beneficiaries' access to services w

This report provides an overview of the major federal assistance programs targeted on non-elderly persons with disabilities. Program descriptions include expenditures, trends, the number and characteristics of recipients, eligibility rules, recent program history and legislative changes, and interactions with other federal programs.

This report describes a range of approaches state Medicaid agencies use to coordinate health services and to coordinate long-term care services with health services for beneficiaries with chronic conditions. It then describes in detail two innovative programs: Georgia's SOURCE program and the Indiana Chronic Disease Management Program. [66 PDF pag

The purpose of this study was to determine how PPS has affected the patterns of care received by Medicare beneficiaries with chronic disabling conditions. The study used the 1982 and 1984 National Long-Term Care Surveys to provide an empirical analysis of differences in the utilization patterns of hospital, skilled nursing facility and home health

Recent research suggests that Florida's Cash and Counseling model-Consumer Directed Care (CDC)-increased the well-being of children with disabilities and their parents in Florida and that the Cash and Counseling programs in Arkansas, Florida, and New Jersey similarly increased the well-being of adults. The program also increased the likelihood th

This Handbook is designed to improve understanding and provide greater clarity concerning Medicaid's contribution in supporting working-age adults with serious mental illnesses in the community. The Handbook focuses on working-age adults between the ages of 21 and 64 with serious mental illnesses, whose need for support extends beyond mental healt

This report examines the issues involved in seeking to address the long-term care service needs of persons with severe mental illness (SMI) in a generic long-term care financing and service delivery system, as was proposed in the home and community-based services provisions of the Health Security Act. SMI, as defined by the Center for Mental Healt