60% of Medicare Psychiatric Hospitalizations Are for People Under Age 65
Hot 'Off The Wire' News for the Week of October 24, 2011
In 2009, about 59% of the 431,276 Medicare fee-for-service (FFS) beneficiaries who were treated by an inpatient psychiatric facility (IPF) were under age 65; and 24% were under age 45. More than half (56%) of Medicare beneficiaries treated at an IPF are also eligible for Medicaid, or dual eligible. About 28% of Medicaid beneficiaries treated in an IPF had more than one IPF stay during the year. These statistics were presented at the October 2011 meeting of the Medicare Payment Advisory Commission (MedPAC) by Dana Kelley in “Improving Payment and Care Under Medicare's Inpatient Psychiatric Benefit.” Ms. Kelly discussed 2009 FFS Medicare utilization and spending for inpatient psychiatric care at IPFs (freestanding and dedicated hospital units) and at general hospital scatter beds... Full Article (all members)
Children's Services
- Final Regulations Out for IDEA Early Intervention Program; Preschool Readiness a Key Outcome (premium members)
- Wisconsin Creating Medicaid Medical Home for Children in Foster Care (premium members)
Mental Health & Chemical Dependency Services
- Telemedicine Recommended To Improve Access To Tribal Mental Health Services (premium members)
- Behavioral Health Access Redesign Initiative Reduces Consumer Waiting Times By 50% (all members)
- New York Medicaid Managed Care Plan Opens Enrollment (all members)
- Ohio Adds Utilization Controls on Community Mental Health; Health Care Excel Wins Prior Authorization Contract (premium members)
- VA Lacks Resources To Handle Veterans Mental Health Needs (premium members)
Cognitive Disabilities
- Expanded Community-Based Supports for IDD Start on January 1, 2012 in New Jersey (premium members)
- Arkansas Mandates Coverage for Autism Therapies by Group Health Insurance Policies (premium members)
- West Virginia Board of Examiners of Psychologists Withdraws ABA Oversight Policy (premium members)
- From 1996 to 2008, Children’s Use of ADHD Prescription Stimulants Increased by 1% (premium members)
Social Services
- Federal Appeals Court Expands Religious Housing Exemption for Social Services (premium members)
- Juvenile Incarceration Costs Average $80,000 Per Year With 75% Rearrest Rate (premium members)
Disability Support
- Sabra Health Care REIT Acquires Skilled Nursing Facilities in Connecticut & Maryland (premium members)
- Wisconsin Launching Virtual PACE Program for Dual Eligbles (premium members)
- The Ensign Group Acquires La Jolla Skilled Nursing Facility (premium members)
Strategic Health Care News
- Mobile Health App Store Happtique Launches, Signs Up 11 New York Health Care Provider Organizations as Customers (premium members)
- Sony Acquires Micronics to Accelerate Point-of-Care Diagnostic Device Development (premium members)
- Physicians Sue Washington State Over Plan to Limit Medicaid Patients to Three Non-Emergency Visits Per Year (premium members)
Newsmakers
- Peggy Chase is New TERROS CEO (all members)
- HRC Foundation Launches Free Training & 50 State Outreach Strategy for Expansion of Adoption Opportunities for LGBT Families (all members)
- 15 Community Behavioral Health Provider Organizations Participating in Integrated Health Provider Learning Collaborative Project (all members)
News Wire Recap
- October 17, 2011: Virginia Medicaid Preparing Behavioral Health Carve-Out RFP
- October 10, 2011: Implementation of Health Reform To Double Number of Medicaid Beneficiaries Using Behavioral Health Services
- October 3, 2011: 45% of Addiction Treatment Programs Offer Medication-Assisted Treatment
- September 26, 2011: Appeals Court Rules Blue Shield of California Must Pay for Residential Anorexia Treatment
- September 19, 2011: Illinois Denies CMHC Request for Property Tax Exemption—Serving Medicaid Clients Not Considered Charitable Care
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