There are two upcoming Eating Disorders Blue Ribbon Panels in MO. Annie Seal, the coordinator, is still trying to find panelists for both markets. The goal is to receive input from the community about eating disorders to consider having eating disorders as a covered health condition in Missouri.
Two MO Eating Disorders Blue Ribbon Panels titled "Let's Talk About It" are scheduled for Warrensburg and Kansas City. Panels will be conducted as round-table discussions on the various issues surrounding eating disorders. If you have professional experience with eating disorders or have been personally affected, your voice is welcome. Please help us as as we strive to bring focus and attention to eating disorders.
July 25, Warrensburg, MO - 3:30pm - 5:00pm
Johnson County Community Health Services - 723 PCA Road, Warrensburg, MO
July 26, Kansas City, MO - 9:30am - 12:00noon
Research Medical Center - 2316 East Meyer Blvd, Kansas City, MO
Please email Annie Seal at firstname.lastname@example.org
to confirm your participation and let us know here at MOPA if you have reached out to Ms. Seal: CLICK HERE
APA comments promote mental health screening and integration of mental and behavioral health services in NCQA medical home model.
The National Committee for Quality Assurance (NCQA) recently released a new version of the Consumer Assessment of Healthcare Providers and Systems Patient-Centered Medical Home Survey (CAHPS PCMH Survey) for use beginning in January 2012. Earlier this year, NCQA released its PCMH 2011 standards. Both the PCMH survey and standards reflect efforts to integrate mental and behavioral health into NCQA’s medical home model. For full story click here
To advance APA’s priorities of integrated health care and workforce development, we would like to call your attention to the new Health Care Innovation Challenge
, which was recently announced by the federal Center for Medicare and Medicaid Innovation. This major initiative will award up to $1 billion in grants to applicants who will implement the most compelling new models to deliver “better health, improved care, and lower costs to people enrolled in Medicare, Medicaid, and CHIP [Children’s Health Insurance Program], particularly those with the highest health care needs.” Applicants are encouraged to include new models of workforce development and deployment that efficiently support their service delivery model proposal, along with enhanced infrastructure to support more cost-effective, system-wide functioning. Individual grant awards will range from approximately $1 million to $30 million for a three-year period. Funding will be directed to innovators who can deploy care improvement models within six months of the grant award through new or expanded efforts to serve new populations of patients, in conjunction (where possible) with other public and private sector partners. Applications are open to providers, payers, local government, public-private partnerships, and multi-payer collaboratives. Each project will be monitored for measurable improvements in quality of care and savings generated.
Potential applicants must submit a letter of intent by December 19, 2011, with applications due by January 27, 2012. The anticipated award date is March 30, 2012.
To learn more about the Health Care Innovation Challenge and information about the application process, please read the Funding Opportunity Announcement
To read an overview of the Health Care Innovation Challenge, including important deadlines, please read the Fact Sheet (PDF)
The Department of Health and Human Services (DHHS) has announced 2 new programs that are of interest.The Medicare Shared Savings Program
will provide incentives for participating health care providers who agree to work together and become accountable for coordinating care for patients. Providers who band together through this model and who meet certain quality standards based upon, among other measures, patient outcomes and care coordination among the provider team, may share in savings they achieve for the Medicare program. The higher the quality of care providers deliver, the more shared savings the providers may keep.The Advance Payment model
will provide additional support to physician-owned and rural providers participating in the Medicare Shared Savings Program who also would benefit from additional start-up resources to build the necessary infrastructure, such as new staff or information technology systems. The advanced payments would be recovered from any future shared savings achieved by the Accountable Care Organization.
For more information click here
NJPA Press Release: New Jersey Psychologists Fight to End Unlawful Practices of Major Health Insurance Plans
Please click HERE
to read a very important press release about New Jersey Psychological Association's legal actions against insurance companies. More Info: www.speakyourmindnj.org
Blue Cross Blue Shield of Kansas City
recently announced that effective November 1, 2011, they will be reducing the fee schedule for doctorate and masters level clinicians in several of their PPO networks.These include:
- Preferred Care (PC)
- Preferred Care Blue (PCB)
- Blue Access
- Freedom Network
- Freedom Network Select
The change impacts in-network behavioral health providers in independent practice including psychologists. The rationale provided for the decrease was to be more consistent with other rates in the market. The decrease varies and is approximately 20-30% depending upon the CPT code. In an attempt to better serve our members, we are trying to determine who in our membership will be impacted by this drastic reduction. We are working with APA
on this matter to determine how to best address this matter. The bigger concern as always is that when one insurance company lowers their rates, other companies will follow suit in the near future. If you are being impacted by this change please contact our Executive Director Ellen McLean at Admin@MOPAonline.org
A message from Div. 42 regarding an important survey for practitioners on how mental health parity is being implemented. Please consider taking a moment to complete the survey. Dear Colleagues;APA's Division 42 (Psychologists in Independent Practice) Advocacy Committee is conducting a survey on psychologists' early experiences with the implementation of mental health parity around the country. We would greatly appreciate your informing your constituents and members about the availability of this survey. The survey requires only 5-15 minutes to complete online athttps://www.surveymonkey.com/s/Div42MHParity. The deadline for taking the survey is December 4th.The data will be tallied and reported to the Division 42 Board of Directors after which time it will be reported on the Division's website at Division42.org and distributed to other interested parties and entities.Thank you in advance for being willing to take the time to complete this important survey. Go to https://www.surveymonkey.com/s/Div42MHParity. Your participation will provide valuable information to assist with our future advocacy activities.Regards,Sallie Hildebrandt, Ph.D.Chair, Division 42 Advocacy Committee
APA Practice Organization and Florida Psychological Association challenge recent Florida BCBS actionsAugust 23, 2011
– Early this month, the Florida Psychological Association (FPA) and the APA Practice Organization (APAPO) learned that Blue Cross Blue Shield of Florida (BCBS FL) and its new behavioral health subcontractor were planning a 30 to 60 percent reduction in psychologists’ reimbursement rates. The considerable payment reductions were part of a new provider contract from the behavioral health carve-out company that included some troubling provisions. Psychologists seemingly were given just 15 days to decide whether to accept the new contract.Read the full article from APA Practice Organization here