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Total 972 results found since Jan 2013.
UBH Found to Have Wrongfully Denied Care Using Flawed Medical Necessity Criteria
The United States District Court for the Northern District of California this week found that United Behavioral Health (UBH/Optum), the country ’s largest managed behavioral health care organization, illegally denied mental health and substance use coverage based on flawed medical necessity criteria.In the case,David Witt, et. al. v. United Behavioral Health, Chief Magistrate Judge Joseph C. Spero said that UBH used internally developed medical necessity guidelines that comprehensively fell short of accepted standards of care to deny outpatient, intensive outpatient, and residential treatment to UBH beneficiaries. Plaint...
Source: Psychiatr News - March 7, 2019 Category: Psychiatry Tags: Judge Joseph C. Spero lawsuit medical necessity guidelines mental health parity law mental illness and substance use disorders standards of care United Behavioral Health Witt v. UBH Source Type: research
APA Applauds Mental Health Provisions in Federal End-of-Year Spending Package
APA today responded to the Congressional passage of the fiscal year 2023 Omnibus Appropriations bill (HR 2617 – Consolidated Appropriations Act, 2023). The bill includes funding for workforce equity, collaborative care, telehealth, and other measures that APA supports.“As families around the nation continue to contend with the adverse impacts of the pandemic, a crisis in child and adolescent mental health, a high rate of suicide, and the opioid epidemic, it is heartening to see Congress forge a bipartisan agreement and invest in policies that that are proven to help,” APA said in astatement.The fiscal year 2023 Omnib...
Source: Psychiatr News - December 23, 2022 Category: Psychiatry Tags: 2023 Omnibus Appropriations bill collaborative care model health equity HR 2617 Medicare mental health parity Minority Fellowship Program samhsa telehealth workforce equity Source Type: research
Linking Annual Prescription Volume of Antidepressants to Corresponding Web Search Query Data: A Possible Proxy for Medical Prescription Behavior?
Abstract: Persons using the Internet to retrieve medical information generate large amounts of health-related data, which are increasingly used in modern health sciences. We analyzed the relation between annual prescription volumes (APVs) of several antidepressants with marketing approval in Germany and corresponding web search query data generated in Google to test whether web search query volume may be a proxy for medical prescription practice. We obtained APVs of several antidepressants related to corresponding prescriptions at the expense of the statutory health insurance in Germany from 2004 to 2013. Web search query ...
Source: Journal of Clinical Psychopharmacology - November 3, 2015 Category: Psychiatry Tags: Original Contributions Source Type: research
Court Ruling in Wit v. UBH Should be Upheld, Urges APA
Managed care organizations must use medical necessity criteria and assessment tools developed by nonprofit mental health and substance use disorder specialty organizations when making coverage-related determinations.That ’s what APA and seven other medical organizations told the United States Court of Appeals for the Ninth Circuit in afriend-of-the-court brief filed yesterday in the caseDavid Wit, et. al., v. United Behavioral Health (UBH). The brief is informed by a 2020APA Position Statement on Level of Care Criteria for Acute Psychiatric Treatment.UBH is appealing anOctober 2020 ruling by Judge Joseph Spero of the Uni...
Source: Psychiatr News - May 20, 2021 Category: Psychiatry Tags: APA friend-of-the-court brief insurance companies Judge Joseph Spero medical necessity mental health and substance use disorders Saul Levin United Behavioral Health Vivian Pender Wit v. UBH Source Type: research
Rates of Mental Illness and Addiction among High-Cost Users of Medical Services in Ontario.
CONCLUSIONS: A high burden of mental illness and addiction among HCUs warrants its consideration in the design and delivery of services targeting HCUs.
PMID: 27254845 [PubMed - as supplied by publisher]
Source: Canadian Journal of Psychiatry - May 31, 2016 Category: Psychiatry Authors: Hensel JM, Taylor VH, Fung K, Vigod SN Tags: Can J Psychiatry Source Type: research
Predictors of Age of Diagnosis for Children with Autism Spectrum Disorder: The Role of a Consistent Source of Medical Care, Race, and Condition Severity.
This study examined predictors of age of ASD diagnosis using data from the 2011-2012 National Survey of Children's Health. Using multiple linear regression analysis, age of diagnosis was predicted by race, ASD severity, having a consistent source of care (CSC), and the interaction between these variables after controlling for birth cohort, birth order, poverty level, parental education, and health insurance. While African American children were diagnosed earlier than Caucasians, this effect was moderated by ASD severity and CSC. Having a CSC predicted earlier diagnosis for Caucasian but not African American children. Both ...
Source: Journal of Autism and Developmental Disorders - August 18, 2015 Category: Psychiatry Authors: Emerson ND, Morrell HE, Neece C Tags: J Autism Dev Disord Source Type: research
APA Commends Bipartisan Budget Deal for Health, MH Provisions
Thebipartisan budget agreement passed last week by Congress wonpraise from APA for its inclusion of funding for many mental health, substance use, and criminal justice programs that will benefit millions of Americans living with serious mental and substance use disorders. APA had lobbied hard on many of these issues for months leading up to the vote.Among the major provisions of the legislation is an extension of the Children ’s Health Insurance Program through 2028, marking the longest reauthorization in the program’s history. CHIP is a federal-state partnership that provides comprehensive health insurance coverage fo...
Source: Psychiatr News - February 13, 2018 Category: Psychiatry Tags: bipartisan budget agreement of 2018 Children's Health Insurance Program opioid epidemic Saul Levin telehealth Source Type: research
Psychiatrists May Play Important Role in Facilitating Uptake of COVID-19 Vaccine by Patients With SMI
People with serious mental illness (SMI) should be among the high-priority groups to receive the COVID-19 vaccine, wrote Nicola Warren, M.B.B.S., of the University of Queensland, Australia, and colleagues in aneditorial inJAMA Psychiatry.In the article —appearing just days after health care workers in Europe, the United Kingdom, and the United States began receiving the first COVID-19 vaccines—the authors outline obstacles to immunization confronting people with SMI and strategies for overcoming them.“Mental health clinicians have a key role in advocating for priority access to a COVID-19 vaccination for those with S...
Source: Psychiatr News - December 16, 2020 Category: Psychiatry Tags: barriers to care cost COVID-19 education flu vaccines serious mental illness SMI transportation Source Type: research
Medical Conditions and Demographic, Service and Clinical Factors Associated with Atypical Antipsychotic Medication Use Among Children with An Autism Spectrum Disorder.
This study aimed to describe rates of antipsychotic medication use and the association between their use and demographics, clinical variables, and the use of behavioral/education services among children with ASD. For children with ASD ages 2-11 (n = 4749) and those 12-17 (n = 401), 5.4 and 17.7% were prescribed at least one atypical antipsychotic medication respectively. In the multivariable model of young children, older age, use of multiple psychotropic medications, prior ASD diagnosis, non-white Hispanic race/ethnicity, and oppositional defiant problems were associated with antipsychotic use. Among older childre...
Source: Journal of Autism and Developmental Disorders - February 15, 2017 Category: Psychiatry Authors: Lake JK, Denton D, Lunsky Y, Shui AM, Veenstra-VanderWeele J, Anagnostou E Tags: J Autism Dev Disord Source Type: research
Quality and Structure of Outpatient Care for Adults with ADHD (Attention Deficit Hyperactivity Disorder) - Results of the RAABE-Study Retrospective Data Analysis of ADHD Treatment in Adults.
CONCLUSION: General practitioners play an important role for medical care of adult patients with ADHD. Continuous medical education programmes and collaboration between general practitioners and specialists is an urgent imperative for improving outpatient care of ADHD in adults.
PMID: 31408892 [PubMed - as supplied by publisher]
Source: Psychiatrische Praxis - August 14, 2019 Category: Psychiatry Tags: Psychiatr Prax Source Type: research
House Passes Build Back Better Act to Invest in Mental Health, Substance Use Disorder Care
Today the U.S. House of Representatives passed the Build Back Better Act, a $2 trillion spending package that includes significant investments in mental health and substance use disorder (SUD) care.APAapplauds the inclusion of these provisions in the legislation:Enforcement of mental health parity laws:The 2008 federal parity law requires that insurance coverage for mental health and SUD services be no more restrictive than coverage for other medical care, but there has yet to be full compliance with this law. The legislation would levy civil monetary penalties for violating parity law requirements.Expansion of the behavio...
Source: Psychiatr News - November 19, 2021 Category: Psychiatry Tags: Build Back Better CHIP House of Representatives maternal mental health Medicaid Medicare parity substance use disorders workforce Source Type: research
Prevalence and 5-year trend of incidence for medical illnesses after the diagnosis of bipolar disorder: A nationwide cohort study
CONCLUSION: Incidence risks of medical illnesses are increased in the first year after bipolar disorder diagnosis. Clinicians must carefully evaluate medical illnesses during this period because the mortality rates from medical illnesses are particularly high in people with bipolar disorder.PMID:34558298 | DOI:10.1177/00048674211046891
Source: The Australian and New Zealand Journal of Psychiatry - September 24, 2021 Category: Psychiatry Authors: Pao-Huan Chen Shang-Ying Tsai Chun-Hung Pan Yi-Lung Chen Sheng-Siang Su Chiao-Chicy Chen Chian-Jue Kuo Source Type: research
Training in psychotherapy for medical doctors - implementation in practice
Conclusions: Additional training in psychotherapy for physicians seems to be proving successful in its implementation in medical practice. Most physicians regularly provide psychotherapy on a small but significant scale. Further cross-regional studies including data from health insurance companies are needed.PMID:35786428 | DOI:10.13109/zptm.2022.68.oa2
Source: Zeitschrift fur Psychosomatische Medizin und Psychotherapie - July 5, 2022 Category: Psychiatry Authors: Kurt Fritzsche Claas Lahmann Anna B ächle Rainer Leonhart Source Type: research
