Only 28% of Medicare beneficiaries discharged from psychiatric hospitals received follow-up mental health care within 7 days. Rates of follow-up care were worse for hospitals operated by for-profit organizations or public agencies and hospitals where many people received involuntary treatment.
This study examined differences between certified community behavioral health clinics (CCBHCs) and community mental health centers (CMHCs) in the services offered and populations served.
The Certified Community Behavioral Health Clinic (CCBHC) demonstration is designed to increase access to comprehensive ambulatory care and crisis services, which may reduce emergency department (ED) visits and hospitalizations.
This report summarizes the implementation and impacts of the first two years of the CCBHC demonstration.
The Appendices to the Fourth Annual Report provide detailed information about the data, methods, analyses, and findings from the independent evaluation of the first four years of CPC+ for the practices that began the model in 2017.
This article describe the components of four large-scale national initiatives aimed at integrating care for people with behavioral health conditions. The findings can inform how to design, test, select, and align the most promising strategies for integrated care.
Reliable and valid measures are needed to assess the patient-centeredness of clinical care among Latino populations.
People with serious mental illness die 10–20 years earlier, compared with the overall population, and the excess mortality is driven by undertreated physical health conditions.
This study examined the feasibility of positioning COVID-19 vaccines in inpatient psychiatric facilities (IPFs) based on their experience providing influenza immunizations and ensuring that patients receive follow-up care.
Community mental health centers (CMHCs) across the country can vary in the scope of services they provide. This variation is, in part, because of differences across states and communities in the availability of funding and staff to provide services.
People discharged from inpatient psychiatric facilities (IPFs) require timely follow-up care to reach their recovery goals and prevent readmissions.
This study used Medicare data to examine the use of new behavioral health integration codes introduced by the Centers for Medicare & Medicaid Services in 2017.
The Certified Community Behavioral Health Clinic (CCBHC) demonstration aims to improve the availability, quality, and outcomes of ambulatory services by establishing a standard definition and criteria for CCBHCs and developing a new payment system that accounts for the total cost of providing comprehensive...
The Certified Community Behavioral Health Clinic (CCBHC) demonstration aims to improve the availability, quality, and outcomes of ambulatory services by establishing a standard definition and criteria for CCBHCs and developing a new payment system that accounts for the total cost of providing comprehensive...
Mathematica provides a wide array of services to improve the prevention and treatment of mental health and substance use disorders.
Mathematica is working with federal, state, and local governments as well as foundations and research organizations to help combat the opioid epidemic.
This study examined the availability of primary care and wellness services in community mental health centers (CMHCs) and outpatient mental health facilities (OMHFs).
In May 2019, NQF released the NQP Playbook™: Improving Access to High-Quality Care for Individuals with Serious Mental Illness.
Studies have consistently documented high rates of obesity and tobacco use among individuals with serious mental illness.
This study examined whether implementing a whole health care model in a community mental health center reduced the use of acute care services and total Medicare expenditures.
This study assessed whether a peer-staffed crisis respite program implemented in New York City in 2013 reduced emergency department visits, hospitalizations, and Medicaid expenditures for individuals enrolled in Medicaid.
This study examined burnout risk and job satisfaction reported by care coordinators in three programs integrating physical and behavioral health care; it also assessed the relationship between job support and burnout and the organizational supports helpful to care coordinators.
Integrated care is widely advocated as a way of providing medical services that are better tailored to patients’ needs and as a way of addressing the undersupply or inavailability of specialists.
Primary care plays an essential role in the primary and secondary prevention of children’s mental health problems.
Individuals discharged from inpatient psychiatric facilities (IPFs) require timely follow-up care to maintain their functioning and avoid or delay future hospitalizations.
This article reports findings from case studies of 4 states (Illinois, Louisiana, Massachusetts, and Tennessee) that used different approaches to coordinate Medicaid services with temporary or permanent housing supports for individuals with psychiatric disabilities.
This study examined whether characteristics of Medicaid beneficiaries were associated with receipt of follow-up care after discharge from the emergency department (ED) following a visit for mental or substance use disorders.
This study highlights disparities in care for diabetes and hypertension for individuals with serious mental illness compared with the general Medicaid and Medicare populations.
In this third annual report, we focus on the third goal: “telling the story” of each awardee by describing its program objectives, implementation experiences, and participants’ outcomes, using CMMI’s four core measures to the extent possible.
As primary care models increasingly include nonphysician team members, more attention should be paid to patient- and family-centered care (PFCC) among medical assistants (MAs).
This issue brief describes why behavioral health integration in primary care is so important in terms of improving care quality and reducing costs.
Following up on its Crossing the Quality Chasm report, in 2006 the Institute of Medicine issued a report that included sweeping recommendations to improve the quality of behavioral health care in the United States.
In this report, we focus on questions selected in collaboration with our contracting officer representative as the most feasible and important to examine at this stage of the evaluation.
This review examined the extent to which existing behavioral health quality measures address the priority areas of the National Behavioral Health Quality Framework as well as the extent to which the measures have received National Quality Forum endorsement and are used in major reporting programs.
Medicaid beneficiaries with schizophrenia and bipolar disorder require a range of services and supports.
This issue brief highlights the efforts of four states—Illinois, Louisiana, Massachusetts, and Tennessee—to facilitate provider-level coordination for Medicaid beneficiaries with behavioral health disorders.
This Issue Brief highlights the efforts of four states—Illinois, Louisiana, Massachusetts, and Tennessee—to facilitate provider-level coordination for Medicaid beneficiaries with behavioral health disorders.
This report presents case studies of four state initiatives (Illinois, Louisiana, Massachusetts, and Tennessee) to improve the coordination of care for Medicaid beneficiaries with mental health and substance use disorders.
As part of its National Quality Strategy, the U.S. Department of Health and Health Services (HHS) Office of the Assistant Secretary for Planning and Evaluation (ASPE) and the HHS Centers for Medicare and Medicaid Services (CMS) are committed to developing and implementing measures that can be used for...
The Affordable Care Act authorized the Center for Medicare & Medicaid Innovation (CMMI) in the Centers for Medicare & Medicaid Services (CMS) to test innovative health care payment and service delivery models with the potential to lower spending on Medicare, Medicaid, and Children’s Health Improvement...
Significant Latino-white disparities in youth mental health care access and quality exist yet little is known about Latino parents’ communication with providers about youth mental health and the role of acculturation in influencing this communication.
In the context of health care reforms that encourage performance measurement, a strong set of measures focused on psychotherapy could help stakeholders understand what psychotherapy services are delivered and if they yield positive outcomes.
This qualitative study examined the early implementation of the Behavioral Health Home Plus (BHHP) program in two county behavioral health agencies in rural Pennsylvania.
This study found the use of injectable antipsychotics varied substantially among state Medicaid programs. African Americans received a disproportionate share in many states.
As part of a project for the U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, Office of Disability, Aging, and Long-Term Care Policy, Mathematica produced report examining the use of evidence-based medications, psychosocial services, and physical...
Serious behavioral and emotional disorders affect millions of America’s children and their families.
This study used Medicaid claims to examine patterns of out-of-home care—residential treatment, psychiatric hospitals, and general hospitals—and identify demographic and diagnostic characteristics associated with the sector of care used.