Published 12:00 am, Sunday, Mar 27, 2016
Across a country, opposite Texas and generally in a San Antonio area, many people with behavioral health issues aren’t removing a assistance they need. Too many people wait 6 months or some-more usually to get an appointment.
This needs to change. Humana is teaming with a Center for Health Care Services, or CHCS, to concentration on this vicious emanate together.
According to a American Psychiatric Association, about 34 percent of a U.S. race has a mental illness, including substance-use disorders. Humana investigate shows that adult to 80 percent of behavioral issues benefaction as earthy health problems, including headaches, nap issues and high blood pressure, and a altogether cost of caring for people with both mental health conditions and compared medical conditions is dual to 3 times aloft than for people but such comorbidities.
The American Psychiatric Association reports that usually 40 percent of adults and 50 percent of children with a diagnosed mental illness accept treatment.
Many mental health professionals don’t have a ability to take on new patients. Increasingly, a series of new mental health professionals is unsound to keep adult with a demand, and as many as half of psychiatrists don’t accept insurance. Some don’t take patients with Medicare coverage.
Humana asked mental health professionals about factors tying their appearance in networks. Among a reasons:
Little inducement to join a network … use already full.
Dealing with word takes time divided from studious care.
No staff to assistance with paperwork.
Pay rates for mental health services are not adequate.
Those are among a tip reasons we now are partnering with a Center for Health Care Services here in San Antonio.
We see opportunities for improvement. CHCS serves people with insurance, people but coverage, people with Medicare and Medicaid — basically, anyone who needs behavioral health care.
We have hired a Humana behavioral health clinician and are coordinating caring with CHCS and a Medicare and blurb network. We’re deliberation fixation CHCS clinicians in some Humana-affiliated medical clinics, relocating a complement toward an integrated proceed to treating behavioral health. And a telepsychiatry commander is underway during 5 Humana-affiliated health caring clinics.
To residence a concerns mental health professionals have about participating in word networks, Humana is holding these steps:
Expanded access: We’re operative to partisan some-more behavioral health providers to a networks, enhance telepsychiatry, and pursue other strategies to secure some-more timely entrance to indispensable care.
Network modifications: We’re substantiating networks designed to need reduction executive work and dedicating additional Humana associates to conduct relations with a mental health caring providers. Also, we’re ensuring that psychiatrists who are listed in a networks indeed are accessible for appointments with a members.
Integrated behavioral health care: We’re training and incentivizing primary caring physicians to confederate behavioral health caring into their practices and observant in a directories that primary caring practices offer mental health services.
Better collaboration: We’re operative with primary caring physicians, behavioral health practitioners, obsession professionals, village health centers, vast health caring systems and university medical centers to incorporate collaborative caring models that commend and provide both mental and earthy health needs of patients.
Reimbursement changes: We’re augmenting remuneration rates in high-demand specialties and geographies, examining village information to safeguard mental health professionals are compensated fairly.
Through innovative partnerships, we are assured we will fast make swell to safeguard some-more people get a caring they need when they need it.
Matthew Ruble, M.D., is medical director/behavioral health for Humana Inc. Leon Evans is boss and CEO of a Center for Health Care Services.
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