Equitably Financing Coordinated Specialty Care: Strategies for Sustainability-Presentation and Q&A

Video Transcription

Video Summary

In a video presentation, former U.S. Representative Patrick Kennedy, Heather O'Donnell from Thresholds, Dr. Mark Fagan, and Dr. David Shearn discuss the challenges and financing strategies for coordinated specialty care (CSC) programs for individuals with early psychosis. They highlight the importance of advocacy and persistence in advancing legislation to ensure equitable coverage for mental health and substance use disorder treatment. They also discuss the possibilities of amending the state Medicaid plan, using Medicaid managed care companies' "in lieu of" provision, applying for 1115 waivers from CMS, and utilizing the Certified Community Behavioral Health Clinic (CCBHC) financing model. The speakers emphasize the affordability and cost-effectiveness of CSC programs compared to other medical procedures. They acknowledge the need to address gaps in coverage, such as case management, supported education, and supported employment, and recommend utilizing Medicaid administrative funds and grants to cover these services. The importance of data collection, building coalitions, and negotiating with insurance companies and policymakers is highlighted throughout the presentation. Overall, the speakers provide valuable insights and strategies for financing CSC programs and advocating for mental health parity.

Keywords

coordinated specialty care

CSC programs

early psychosis

advocacy

legislation

Medicaid managed care

1115 waivers

CCBHC financing model

cost-effectiveness

mental health parity