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Articles 1 - 4 of 4

Full-Text Articles in Health Law and Policy

Pasrr: A Unique Gateway To Community Services, Jessica Carpenter Apr 2018

Pasrr: A Unique Gateway To Community Services, Jessica Carpenter

Commonwealth Medicine Publications

The Omnibus Budget Reconciliation Act of 1987 required state Medicaid programs to implement a Pre-Admission Screening and Resident Review (PASRR) process, which required every person entering or residing in a Medicaid funded or certified long-term care nursing facility be screened for evidence of serious mental illness, and/or intellectual disability, developmental disability or related conditions, such as autism and cerebral palsy. The PASRR review confirms those individuals with a PASRR-related diagnosis and determines the least restrictive environment to meet their needs, and identifies disability focused services to promote the individuals’ highest level of function and independence.


Implementing Behavioral Health Integration In Primary Care, Joshua P. Twomey, Judith Steinberg, Joan D. Johnston, Amy Leary, Amy Norrman-Harmon, Jean Carlevale Jun 2016

Implementing Behavioral Health Integration In Primary Care, Joshua P. Twomey, Judith Steinberg, Joan D. Johnston, Amy Leary, Amy Norrman-Harmon, Jean Carlevale

Commonwealth Medicine Publications

A detailed review of the teaching assistance (TA) and shared learning (SL) in the area of behavioral health integration UMass Medical School provided to participants of the Primary Care Payment Reform program, an alternative payment pilot developed by the Massachusetts Medicaid program, MassHealth. PCPR was designed to improve access, patient experience, quality and efficiency. As a result of TA and SL, practices reported higher rates on behavioral health quality measures and milestones.


Whole-Person Care: Implementing Behavioral Health Integration In The Patient-Centered Medical Home, Joshua P. Twomey, Joan Johnston, Judith L. Steinberg, Anita Morris Mar 2016

Whole-Person Care: Implementing Behavioral Health Integration In The Patient-Centered Medical Home, Joshua P. Twomey, Joan Johnston, Judith L. Steinberg, Anita Morris

Commonwealth Medicine Publications

Primary Care Payment Reform (PCPR) is an alternative payment pilot program of MassHealth, with learning collaborative support from UMass Medical School, that introduces the principles of accountable care, behavioral health integration and patient-centered medical homes in primary care practices. The pilot demonstrated that behavioral health integration is a necessary component of whole-person care and a complex, but highly accomplishable task; numerous transformation strategies can support the clinical, financial and cultural challenges to integration; and alternative payment models are essential to support sustainable, expandable and successful behavioral health services in primary care.


Statewide Penetration And Standard Costs Of Psychotropic Medications, Mary R. Murrin Jun 2003

Statewide Penetration And Standard Costs Of Psychotropic Medications, Mary R. Murrin

Mental Health Law & Policy Faculty Publications

This study will examine differences in pharmaceutical utilization rates relative to financial risk arrangements of differing insurance plans. During the last four years we have noted consistent differences in utilization of expensive, psychotropic medications between individuals enrolled in Health Maintenance Organizations (HMOs), which are at financial risk for the provision of pharmaceuticals, and the MediPass program in which the state bears the risk of pharmacy expenses. Persons in HMOs had lower levels of utilization.