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Human Services and Behavioral Health Integration: A Model for Whole-Person Medicaid Managed Care
Amy D Herschell1, James M Schuster1, Donna J Keyser1
1Community Care Behavioral Health Organization (Herschell, Schuster, Wasilchak, Neimark, Shaffer, Hurford) and Center for High-Value Health Care (Keyser), UPMC Insurance Services Division, Pittsburgh.
Psychiatric Services (Washington, D.C.)
|March 20, 2023
Summary
Coordinating health and human services improves whole-person care. Pennsylvania
Area of Science:
- Public Health
- Health Services Research
- Health Policy
Background:
- Achieving comprehensive, whole-person healthcare requires integrating health services with other human services.
- Pennsylvania's HealthChoices program, a managed Medicaid initiative, decentralizes behavioral health service management to local entities.
- County-level oversight enables tailored service delivery and priority setting based on community needs.
Purpose of the Study:
- To examine how aligning health and human services impacts healthcare delivery.
- To understand the role of county administrators in managing Medicaid-funded behavioral health services.
- To assess the effectiveness of a decentralized model in promoting integrated care and addressing social determinants of health.
Main Methods:
- Analysis of the HealthChoices program structure and operational model.
- Review of county-level programmatic and fiscal oversight mechanisms.
- Examination of service integration strategies and outcomes related to community-based care, general medical and behavioral health integration, and social determinants of health programs.
Main Results:
- The HealthChoices model empowers county administrators to foster synergies between behavioral health and other human service systems.
- Decentralized management facilitates the creation of programs that address local needs and social determinants of health.
- The approach supports enhanced access to community-based care and integration of medical and behavioral health services.
Conclusions:
- Aligning and integrating health and human services, as exemplified by Pennsylvania's HealthChoices program, is crucial for a comprehensive, whole-person approach to healthcare.
- Local-level management and oversight are effective in tailoring services and addressing specific community needs.
- This model promotes integrated care, community-based solutions, and interventions targeting social determinants of health.
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