Enhancing Mental Health and Substance Use Services for All
Improving Care for Medicare and Medicaid Recipients
The American Institutes for Research (AIR) is embarking on a significant initiative to enhance care for Medicare and Medicaid recipients experiencing moderate to severe mental health conditions and substance use disorders. This endeavor strengthens AIR’s commitment to promoting better health outcomes for these vulnerable populations.
A Collaborative Effort with the CMS Innovation Center
AIR has been awarded a $73 million contract from the Center for Medicare and Medicaid Services (CMS) Innovation Center to help implement and monitor the Innovation in Behavioral Health (IBH) Model. This model is designed to integrate and coordinate care within specialty behavioral health practices, catering to the diverse needs of individuals on Medicare and Medicaid.
Understanding the Need
Statistics reveal a pressing need for such initiatives, with a quarter of Medicare enrollees and 40% of adult Medicaid recipients facing mental health challenges or substance use disorders. These groups often encounter significant barriers to healthcare access, leading to unmet needs, poor health outcomes, and in some cases, premature mortality.
The Role of the IBH Model
The IBH Model aims to facilitate comprehensive care by addressing not only the physical and behavioral health needs of patients but also their health-related social needs, including access to housing, food, and transportation. This approach promises more coordinated care, which could potentially reduce emergency department visits and improve overall health outcomes.
Key Responsibilities of AIR
As part of this vital project, AIR will undertake several crucial responsibilities, including:
- Assisting CMS and participating states in developing methodologies for beneficiary attribution, quality measurement, and payment incentives.
- Providing essential technical assistance to states and behavioral health practices necessary for the successful implementation of the Model.
- Collecting data and scoring performance measures, which are vital for calculating Model payments.
- Monitoring healthcare quality and outcomes to identify any unintended consequences arising from the program.
Partnerships for Success
AIR has partnered with key organizations such as General Dynamics Information Technology, Health Management Associates, iCare, and Clinical Consultant Elizabeth Salisbury-Afshar, MD, to leverage diverse expertise in enhancing care delivery.
A Commitment to Integrated Care
Timothy Hill, senior vice president for AIR's Health Division, expressed enthusiasm about this collaboration, emphasizing the project’s alignment with AIR’s mission of fostering a more equitable healthcare landscape. By supporting integrated and coordinated care solutions, AIR aims to lead the way in improving outcomes for those affected by mental health and substance use disorders.
Future Projects of AIR
This contract marks the latest addition to AIR’s portfolio, which includes various projects aimed at transforming the healthcare system. AIR is also collaborating with CMS to improve access to groundbreaking cell and gene therapy treatments for Medicaid recipients, emphasizing its commitment to innovation in healthcare delivery.
Strengthening Organ Procurement and Transplantation
Moreover, under a contract with the Health Resources and Services Administration (HRSA), AIR will work to bolster governance, transparency, and efficiency within the Organ Procurement and Transplantation Network, showcasing its dedication to improving healthcare systems holistically.
About AIR
Founded in 1946, the American Institutes for Research (AIR) stands as a not-for-profit organization committed to advancing behavioral and social science research. AIR is dedicated to delivering high-quality technical assistance across various sectors, including health and education. With headquarters in Arlington and a network of offices nationwide and abroad, AIR aims to leverage rigorous evidence to foster a better and more equitable world.
Frequently Asked Questions
What is the purpose of the IBH Model?
The IBH Model aims to integrate and coordinate care for Medicare and Medicaid recipients with behavioral and physical health needs, while addressing related social determinants of health.
How will AIR support the implementation of the IBH Model?
AIR will assist CMS and states by developing methodologies, providing technical support, and monitoring the quality and outcomes of healthcare services.
What challenges do Medicare and Medicaid recipients face?
Many recipients encounter unmet health care needs, poor health outcomes, and barriers to access due to the stigma surrounding mental health and substance use disorders.
Who are AIR's partners in this project?
AIR collaborates with organizations like General Dynamics Information Technology, Health Management Associates, and iCare to enhance care delivery in this endeavor.
What is AIR's mission?
AIR’s mission focuses on using rigorous evidence to promote a better and more equitable world through impactful research and technical assistance.
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