Matthew E Hirschtritt, Brandon Staglin, Stuart Buttlaire, Kerry Ahearn, Sarada Oglesby, Lisa B Dixon, David Shern, Toby Ewing, Tara A Niendam
{"title":"Reimbursement for a Broader Array of Services in Coordinated Specialty Care for Early Psychosis.","authors":"Matthew E Hirschtritt, Brandon Staglin, Stuart Buttlaire, Kerry Ahearn, Sarada Oglesby, Lisa B Dixon, David Shern, Toby Ewing, Tara A Niendam","doi":"10.1176/appi.ps.20230551","DOIUrl":null,"url":null,"abstract":"<p><p>Despite the growing evidence supporting the benefits of coordinated specialty care (CSC) for early psychosis, access to this multimodal, evidence-based program in the United States has been hindered by a lack of funding for core CSC services and activities. The recent approval of team-based reimbursement codes by the Centers for Medicare and Medicaid Services has the potential to fund substantially more CSC services for clients with insurance coverage that accepts the new team-based billing codes. This streamlined and more inclusive billing strategy may reduce administrative burden and support the financial viability of CSC programs.</p>","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":null,"pages":null},"PeriodicalIF":3.3000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychiatric services","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1176/appi.ps.20230551","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/3/27 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Despite the growing evidence supporting the benefits of coordinated specialty care (CSC) for early psychosis, access to this multimodal, evidence-based program in the United States has been hindered by a lack of funding for core CSC services and activities. The recent approval of team-based reimbursement codes by the Centers for Medicare and Medicaid Services has the potential to fund substantially more CSC services for clients with insurance coverage that accepts the new team-based billing codes. This streamlined and more inclusive billing strategy may reduce administrative burden and support the financial viability of CSC programs.
尽管有越来越多的证据支持协调专科护理(CSC)对早期精神病治疗的益处,但在美国,由于缺乏对协调专科护理核心服务和活动的资金投入,这种以证据为基础的多模式项目的使用一直受到阻碍。最近,美国医疗保险和医疗补助服务中心(Centers for Medicare and Medicaid Services)批准了以团队为基础的报销代码,这有可能为接受新的以团队为基础的计费代码的客户提供更多的 CSC 服务资金。这种简化且更具包容性的计费策略可减轻行政负担,支持社区支持中心计划的财务可行性。
期刊介绍:
Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.