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Representing 1667 community organizations that provide safety-net mental health and substance use

treatment services to nearly six million adults, children and families

The National Council for Community Behavioral Healthcare

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“The most effective way to cope with change is to help create it”

L.W. Lynett

Commitment to Action - Practice and Policy

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Clinical Design and Payment Mechanism driven by:• Medicare (and the Public Health Insurance

Option) as incubator for design changes, followed by…

• State or National Exchanges, that become huge buyers of insurance over time and…

• State Medicaid Programs that are challenged to manage current enrollees & large number of high cost, indigent, previously uninsured, and…

• Integration of Medicare and Medicaid funding to manage high cost Dual Eligible population

Healthcare Reform: Managing Total Health Expenditures

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Practice Improvement Agenda: access; healthcare homes; and outcomes> Access and Retention (SPQM) Initiatives; Six

Sigma; National Benchmarking> Transition Age Youth Project> Criminal Justice Leadership Forum > Psychiatric Leadership Project; CEO University;

and Middle Management Academy

>Health Promotion - Healthcare Collaborative Project; Learning Communities; and Mental Health First Aid

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Primary Care/Behavioral Health Learning Communities

> Current Learning Communities• National Council Integrated Health Learning

Community (27 sites)• Mental Health Corporations of America (30

sites)• Michigan IH Learning Community (18 sites)

> Pending Learning Communities• Hogg Foundation Learning Community (10

sites)• HRSA (5 sites)

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Healthcare Homes - Primary Care/Behavioral Health Project• Safety net population in every community has seamless access to both mental health/addiction and physical healthcare services.

• Stepped care - mental health/addiction and physical healthcare providers, with roles defined, referral protocols and cross-placement of clinical staff.

• Phases I and II : 12 sites in 10 states

• Phase III and IV– 9 additional sites

• 45% pts. treated for depression - PHQ-9

• 85% pts. treated for depression assessed for hypo-mania or mania

• 90% pts. treated for depression got suicide assessment

• 100% pts. receiving atypical anti-psychotics assessed for hyperlipidemia.

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A Collaborative Partnership•National Council•Maryland State Department of Mental Hygiene•Missouri Department of Mental Health

350 instructors certified, 3,000 community members trained

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Public Policy

Health care reform design work focused on needs of Americans with serious mental health/substance use disorders and challenges for Community Behavioral Healthcare Organizations.

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2009 Policy Agenda

>Regulatory Guidance for Parity Legislation >HIT Incentives>Behavioral Health/Primary Care Grant

Program >Medicaid Healthcare Homes >Federal status for Community Behavioral

Health — FQBHC >Safety Net Protection - Increase to Mental

Health Block Grant

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Policy progress…> Wellstone Domenici parity law applies to all

qualified health plans > Individuals with serious mental illness eligible for

Medicaid health care homes option & behavioral health organizations included as designated providers

> Establishes criteria for certifying Federally Qualified Behavioral Health Centers.

> Expands Medicaid 340B drug discount program to public addiction and mental health providers.

> Authorization and increased funding for Behavioral Health/Primary Care Grant Program

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Together We Will! 6th Annual HILL DAY June 29&30, 2010