Issue brief (George Washington University. Center for Health Services Research and Policy)最新文献

{"title":"Reasonable modification or fundamental alteration? Recent developments in ADA caselaw and implications for behavioral health policy.","authors":"Sara Rosenbaum,&nbsp;Joel Teitelbaum,&nbsp;D Richard Mauery,&nbsp;Alexandra Stewart","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This issue brief examines the concept of fundamental alteration under the Americans with Disabilities Act (ADA); specifically it considers when proposed modifications of public programs under Title II of the ADA will be considered to amount to the type of fundamental alteration that lies beyond judicial power to compel. The issue of when a program change constitutes a fundamental alteration is important in state community integration planning efforts, since these types of changes will require legislative action.</p>","PeriodicalId":84947,"journal":{"name":"Issue brief (George Washington University. Center for Health Services Research and Policy)","volume":" 21","pages":"1-25"},"PeriodicalIF":0.0,"publicationDate":"2003-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24409799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"HIPAA's electronic transactions rule: implications for behavioral health providers.","authors":"Brian Kamoie","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":84947,"journal":{"name":"Issue brief (George Washington University. Center for Health Services Research and Policy)","volume":" 22","pages":"1-19"},"PeriodicalIF":0.0,"publicationDate":"2002-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24409801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An analysis of contracts for the delivery of managed behavioral health care services in state correctional facilities.","authors":"D Richard Mauery,&nbsp;Joel Teitelbaum,&nbsp;Jeffrey Lerman,&nbsp;Sara Rosenbaum","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":84947,"journal":{"name":"Issue brief (George Washington University. Center for Health Services Research and Policy)","volume":" 15-16","pages":"1-49"},"PeriodicalIF":0.0,"publicationDate":"2002-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24409787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The devolution of managed care contractor duties: analysis and implications for public policy in managed behavioral health care.","authors":"S Rosenbaum,&nbsp;A Markus,&nbsp;J Teitelbaum","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":84947,"journal":{"name":"Issue brief (George Washington University. Center for Health Services Research and Policy)","volume":" 20","pages":"1-36"},"PeriodicalIF":0.0,"publicationDate":"2001-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24409798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Olmstead v L.C. Federal implementation guidelines, and analysis of recent cases regarding Medicaid coverage of long term care services for persons with disabilities.","authors":"S Rosenbaum","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":84947,"journal":{"name":"Issue brief (George Washington University. Center for Health Services Research and Policy)","volume":" 17","pages":"1-22"},"PeriodicalIF":0.0,"publicationDate":"2001-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24409795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An overview of legal developments in managed care caselaw and selected case studies of legal developments in state contracting for managed behavioral health services.","authors":"S Rosenbaum,&nbsp;D R Mauery,&nbsp;J Teitelbaum","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":84947,"journal":{"name":"Issue brief (George Washington University. Center for Health Services Research and Policy)","volume":" 14","pages":"1-26"},"PeriodicalIF":0.0,"publicationDate":"2001-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24409792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A crosswalk between the final HIPAA privacy rule and existing federal substance abuse confidentiality requirements.","authors":"B Kamoie,&nbsp;P Borzi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":84947,"journal":{"name":"Issue brief (George Washington University. Center for Health Services Research and Policy)","volume":" 18-19","pages":"1-52"},"PeriodicalIF":0.0,"publicationDate":"2001-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24409797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Care coordination and physical and behavioral service integration in managed care contracts: analysis and sample purchasing specifications.","authors":"S Rosenbaum,&nbsp;D R Mauery,&nbsp;B Kamoie","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This double Issue Brief on the issue of managed care contracts and care coordination has been prepared for the Substance Abuse and Mental Health Services Administration as part of a series that examines legal issues in managed care for persons with mental illness and addiction disorders. This Issue Brief is presented in two parts. Part 1 presents an analysis, based on managed care contract data bases developed by CHSRP, of the extent to which public and private group purchasers maintain agreements that specify care coordination as part of the standard of care for persons with co-occurring physical and/or behavioral illnesses and conditions. Part 2 sets forth sample purchasing specifications that are designed to establish care coordination as part of the standard of care.</p>","PeriodicalId":84947,"journal":{"name":"Issue brief (George Washington University. Center for Health Services Research and Policy)","volume":" 11-12","pages":"1-23"},"PeriodicalIF":0.0,"publicationDate":"2001-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24409888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Behavioral health benefits for public employees: effect of mental health parity legislation.","authors":"P C Borzi,&nbsp;S Rosenbaum","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>With the passage of the Mental Health Parity Act of 1996 (MHPA), Congress took an important first step toward equalizing treatment under medical plans between physical and mental illnesses by requiring parity in annual and lifetime dollar limits between physical and mental illness. But the Act was limited in scope: it did not mandate mental health benefits nor prohibit other common types of differentials between physical and mental illnesses, such as higher cost-sharing or lower limits on outpatient visits or inpatient treatments. Before Congress' action in 1996, a few of the states had adopted some type of parity requirement. Since 1996, state parity activity has accelerated.Recently, the Center for Health Services Research and Policy through a grant from the Substance Abuse and Mental Health Services Administration of the U.S. Department of Health and Human Services, examined contracts providing for mental health benefits for state employees in eight states to assess whether legislative attempts to require parity between physical and mental illnesses resulted in noticeable differences in behavioral health benefits for state employees. We concluded that, except in states that have mandated full parity for some or all types of mental illnesses, behavioral health benefits for state employees have not changed significantly as a result of the state parity laws, since they still remain subject to traditional restrictions, such as higher cost-sharing and greater limitations on outpatient visits and inpatient treatment days, than those imposed on physical illnesses. Thus the considerable state activity surrounding mental health parity may have little effect on state employees' access to mental health services, since although state laws required parity in dollar limitations, they generally permitted the continuation of other plan design features that are more restrictive for mental health coverage. However, many of the contracts we examined were multi-year contract and may not have fully reflected recent state activity. Moreover, if Congress renews the Mental Health Parity Act when it expires in September, 2001, and expands the scope of the Act to cover some of these other plan design features, states with more limited parity laws are likely to follow. In that case, perhaps state employees with mental illnesses may see significant change in the future.</p>","PeriodicalId":84947,"journal":{"name":"Issue brief (George Washington University. Center for Health Services Research and Policy)","volume":" 13","pages":"1-23"},"PeriodicalIF":0.0,"publicationDate":"2001-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24409890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medicare, managed care, and behavioral health care.","authors":"S Rosenbaum,&nbsp;B M Smith","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":84947,"journal":{"name":"Issue brief (George Washington University. Center for Health Services Research and Policy)","volume":" 10","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2000-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24409887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}