Do you know about - thinking Healthcare Reform - gift Successes and time to come Challenges
Celebrate Recovery Locations! Again, for I know. Ready to share new things that are useful. You and your friends.As healthcare reform is becoming a reality, there is much to celebrate within the reasoning condition community. This includes passage of a healthcare reform package that includes parity for reasoning condition and addiction services, expansion of Medicaid to 133% of Federal Poverty Level, inclusion of behavioral condition organizations and individuals with reasoning illnesses in the new Medicaid healing home state option, and authorization and increased funding for grants co-locating reasoning condition rehabilitation and traditional care. These and a host of other provisions develop the opportunities for individuals with reasoning illnesses and addictions to gain and articulate insurance coverage and way needed services.
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But this is not the end of the reasoning healthcare battle. Plainly put, reasoning condition advocates must be ready to play in a new game, in a world where expanding numbers of individuals - by virtue of Medicaid expansion, the emerging condition insurance Exchanges, and parity regulations - will have way to behavioral condition services. We expect to see an additional 15 million individuals - an increase of 43% - eligible for Medicaid alone, with more than 30 million individuals unabridged who will, in the not too distant future, have insurance coverage.
But this is far more than a matter of numbers - it's about working smarter. Advocates of reasoning healthcare anticipate that healthcare reform-driven assistance delivery redesign and cost reform will unfold at a rapid pace. In order to bend the cost curve, cost reform and assistance delivery redesign will change how health, reasoning health, and substance use services are integrated, funded, and managed. Providers must learn to convention healthcare the way healthcare will be done.
As reasoning healthcare providers and advocates, we must become savvy about positioning ourselves to take advantage of new markets and new opportunities to help operate the organize and delivery of healthcare services. We must begin to build relationships within and across the entire healthcare sector. As we revisit the notion of "managing care" for individuals and whole populations, we have to be unavoidable that our focus on person-centered, recovery-focused rehabilitation and services is not subsumed by the drive to "bend the curve" in healthcare costs. We must be able to demonstrate our value not only to our customers, but also as key players in these new healthcare consortia.
We must become accountable for sufficient and sufficient services that show results across all condition domains. We believe fee-for-service reimbursement will gradually become a thing of the past. So, too, will be the quality to claim that caseloads are full with no-show rates of 50% and more. We risk being left on the sidelines if we don't move with deliberate speed to ensure continuity and timely way to care; comply with third-party payer requirements; coordinate care with a full range of condition providers; and if vital take on payers that refuse to honor the spirit and letter of the parity regulations.
We must become increasingly customer-focused, from the way we greet individuals who come through our door to the way we market our services. We should expect that with more money ready in healthcare - particularly for reasoning condition and addiction rehabilitation - that new and well capitalized players will find behavioral health, traditionally a financially unattractive healthcare sector, far more appealing.
People will be insured and will have an expanding range of options ready to them. What differentiates our reasoning healthcare services? Why should an private pick to receive rehabilitation and hold from us? Are we gift services that will help them meet a full range of healthcare needs? Are our services culturally accepted for the communities we serve? Can we help them understand and make accepted use of their insurance coverage? We must retool our organizations with the knowledge that all individuals will now become true "consumers" of healthcare services.
At the same time, we must also be aware that our work is far from over at the state and federal level. Forty eight of 50 states are experiencing severe allocation shortfalls. The threat is very real and the reasoning healthcare advocates are fighting hard to hold on to current funding as legislatures see an occasion to continue to withdraw needed funds. This is surely a bad idea - even the most compassionate healthcare benefits will likely not cover the full range of wraparound supports that citizen with reasoning illnesses and addictions need to fully recover.
Eleanor Roosevelt once said, "It takes as much energy to wish as it does to plan." All of our planning, advocacy, and leadership to date have borne fruit, but we must not be content to wish it all works out well. We must fight for our future - and the future of the individuals we are privileged to serve - by acting as key players in the brave new world of healthcare.
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