Thursday, May 24 | Care Coordination, Human Services, EHR Solutions and Operations
As payment models in healthcare continue to innovate and test new ways to lower costs and deliver quality outcomes, initiatives like the Texas Medicaid 1115 Waiver program become a vital route for organizations to maximize their Medicaid payments. The goal of the 1115 Waiver program is to allow Texas the ability to “expand Medicaid managed care, while preserving hospital funding. It also provides incentive payments for healthcare improvements and directs more funding to hospitals that serve a large number of uninsured patients.”
Local Mental Health Authorities (LMHAs) in Texas will be eligible to receive funding from a $25 billion bucket over the next five years if they can prove they have met or exceeded specific quality measures. Each quality measure is given a weighted score and each LMHA will have a minimum score to meet. Measures include screenings for clinical depression, body mass index, substance use disorders, medication compliance and chronic disease management.
So, how do organizations prove their outcomes yet remain efficient and maintain a high level of staff satisfaction? We talked with one of the largest LMHAs in the state, My Health My Resources of Tarrant County (MHMR) about how they are tackling the challenge.
“Part of our decision to implement the Netsmart system was their ability to accommodate the very specific requirements of the Texas 1115 Waiver program,” said Susan Garnett, CEO of MHMR. “The reporting requirements for proving outcomes can be a cumbersome one, especially if an organization doesn’t have an integrated EHR system. Netsmart is building the reporting directly into the workflows so it’s part of our process.”
In this day of bundles and outcomes-based payment models, basic automation from an electronic health record (EHR) just doesn’t cut it. Organizations need an integrated platform that gives them real-time access to information from across different providers and care settings, while providing insights and analytics that meet all outcome and regulatory requirements.
LMHAs in Texas have a tremendous opportunity to demonstrate results with the 1115 Waiver program by deploying connected, coordinated care models that lower costs for their organizations and improve outcomes for the individuals they serve.
“1115 is about healthcare transformation, soon we will have the technology to truly track our progress in serving people and supporting their health and wellness,” Garnett said.
Expanding Access to Care for Better Public Health
Thursday, April 06 | Thought Leadership,Human Services,Netsmart in the Community
Barriers to mental health and substance use services continue to be challenging, as the demand for care continues to rise. In fact, 28% of those seeking mental health care and 22% seeking substance use care are unable to find a conveniently located provider, which can be particularly difficult in rural areas. Hear three strategies public health organizations can implement to improve outcomes, boost access to services and increase staff satisfaction.More
Continuing the Conversation: Our Commitment to IDD
Tuesday, March 28 | Thought Leadership,Human Services,Netsmart in the Community
Our main focus this Developmental Disabilities Awareness Month has been to focus on recognizing individual abilities and advocating for equal opportunities in education, employment and helping these individuals to live productive, independent lives. By helping providers embrace technology to support IDD staff, they can focus on delivering person-centered care to individuals when and where they need them to live a truly meaningful life.More
Monday, March 20 | Thought Leadership,Human Services
SAMHSA's National Guidelines for Behavioral Health Crisis Care provide key principles for youth crisis services to adopt, including addressing recovery needs, using trauma-informed care, and integrating family and youth peer support services.More