There are an increasing number of clinicians that want to span the gap between physical health care and #behavioralhealth in #addictiontreatment. It's what's right for the patient and the system. But the system won't let it happen. Vital insights and stories from Morgan Gonzales. #mentalhealth #managedcare #privateequity #venturecapital https://lnkd.in/eCQbAhGG
Australian healthcare is a great example of how integrative treatments can be made more accessible. Singapore also have a more holistic-friendly system. In both countries it’s common for mental health treatment to be be paired with complimentary treatments like acupuncture, osteo, myofascial or other body based treatments. During my time as a clinic director, it’s been wonderful to see readiness growing and pathways between different disciplines opening up. The more we integrate our healthcare system, the better patient care and the recovery outcomes.
Its about again the "value based care " and value based incentive and the numerous DSRIP and other programs that have been implemented and not sustained - When I was in academics trying to increase funding for a FTE in our department - we were arguing the same "value " that a CL psychiatrist brings by reducing LOS in a hospital and enhancing discharges , thus saving $$$ for the hospitals - This has been written and rewritten in all Psychosomatic journals and academia with well established studies - UW is the pioneer with AIMS model - Do we see that freely implemented everywhere ? No - Due to Payment reimbursements being the barrier - -There are ways to bill for a collaborative care model but the ways that payors pay is abysmal and unsustainable - Again problem is the US healthcare system with the monopoly and the way its designed to empower the fruit right at the top - not the low lying fruit ( aka clinicians and actual experts )
This would help to remove so many barriers.
Maryland’s Mental Health Maven
8moPrimary Care Physicians have CPT codes that reimburse for Collaborative Care and SBIRT, but the mental health clinicians implementing them do not. And of course fee splitting is illegal, so how do we enter into partnerships with medical practices to establish this life-saving and cost-reducing collaboration?