New guidance under the Affordable Care Act (ACA)
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Monday, August 29, 2022 | The Latest Research, Commentary, And News From
Health Affairs
Dear John,
Health Affairs is hosting a live informational session about the Health
Equity Fellowship for Trainees
(HEFT) on
Wednesday, August 31, at 4:00 PM Eastern. Register now
to learn more about the
fellowship.
ACOs And Serious Mental Illness
In the Medicare population, nearly 23 percent of enrollees have a
serious mental illness-a notably higher proportion than in the general
population.
The Medicare accountable care organization (ACO) model is one strategy
for addressing mental health among Medicare beneficiaries.
Looking at national Medicare data from five years after the launch of
the Medicare Shared Savings Program, José Figueroa and coauthors
evaluate changes in spending and use associated with enrollment
in the program among beneficiaries with serious mental illness (SMI).
"The Medicare Shared Savings Program between 2013 and 2017 was
associated with small savings among those with SMI, including
schizophrenia and related psychotic disorders, bipolar disorder, and
major depressive disorder," the authors report.
The authors find that savings were driven by reductions in acute and
postacute care for medical conditions and not reductions in the
treatment of mental health disorders.
Figueroa and coauthors suggest that ACOs may need to implement other
strategies to reduce potentially unnecessary care related to mental
health disorders.
Read More
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Elsewhere At Health Affairs
Today in Health Affairs Forefront, Kathleen Noonan describes how the
Camden Coalition is taking an iterative and long-term approach
to building ecosystems of care in partnership with community residents
and community-based organizations.
Katie Keith writes about new guidance related to the Affordable Care Act
and the No Surprises Act
,
specifically focusing on the $100 million for navigators and Idaho's
Section 1332 waiver for reinsurance.
If you missed our newsletter last Friday, then we recommend checking out
our most recent episode of the Health Affairs This Week
podcast, where we discuss how the CDC is reshaping itself from lessons
learned during the COVID-19 pandemic.
If you like the work we publish on Forefront and our podcasts, you can
show your support by becoming a Health Affairs Insider
,
and as an added bonus, you'll get a free gift for joining.
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Daily Digest
ACO Participation Associated With Decreased Spending For Medicare
Beneficiaries With Serious Mental Illness
José F. Figueroa et al.
Two Years After A Disappointing RCT In Camden: Reassessing Value And
Building Ecosystems Of Care
Kathleen Noonan
ACA Round-Up: $100 Million For Navigators, Approval Of Idaho Waiver, And
More
Katie Keith
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mailto:
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About Health Affairs
Health Affairs is the leading peer-reviewed journal
at the intersection of health,
health care, and policy. Published monthly by Project HOPE, the journal
is available in print and online. Late-breaking content is also found
through healthaffairs.org , Health Affairs Today
, and Health Affairs Sunday
Update . Â
Project HOPE is a global health and
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health care workers to save lives across the globe. Project HOPE has
published Health Affairs since 1981.
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Health Affairs, 1220 19th Street, NW, Suite 800, Washington, DC 20036, United States
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