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Total Results: 48 records

Showing results for "healthcare cost and utilization".

1. Policy & Financing | The Academy
   integrationacademy.ahrq.gov/about/integrated-behavioral-health/policy-and-financing
   September 01, 2024 - financial inefficiency. 1, 2 Health care costs in the United States are much higher than those in other … health being the most costly type of chronic condition, accounting for an estimated $201 billion in health … care costs. 4 One approach to providing cost-effective whole-person health care is to integrate primary … medical conditions has been a major driver of increasing health care costs. … Association of team-based care with health care quality, utilization, and cost.

2. Define Your Vision | The Academy
   integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/planning-for-integration/define-your-vision
   January 01, 2024 - Utilization of Behavioral Healthcare: Integrated behavioral health can increase access to and use of … reduced symptoms. 6,8,11-17 Financial Benefits: Reduced Healthcare Utilization and Costs : Integrated … symptoms and mental health functioning in veterans, 39 and healthcare utilization across various populations … Association of Integrated Team-Based Care With Health Care Quality, Utilization, and Cost. … Primary Care Behavioral Health Integration and Care Utilization: Implications for Patient Outcome and

3. Collect and Use Data for Quality Improvement | The Academy
   integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/collect-and-use-data-quality-improvement
   September 01, 2025 - Co-location Utilization : Percentage of patients seen by a behavioral health provider on the same day … Financial and Utilization Data: Behavioral Health Billing Codes Utilized : Tracking the frequency and … Emergency Department Utilization : Tracking emergency department visits for behavioral health crises … Do : Implement the plan and collect data to document the changes and their effects. … Monitor Outcomes Track Patients and Monitor Their Outcomes Collect and Use Data

4. Payment and Reimbursement | The Academy
   integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/payment-and-reimbursement
   January 01, 2018 - Utilization management policies. … In theory, these benefit design limits and utilization management strategies are meant to ensure treatment … This process can be disruptive and burdensome for both providers and patients. … help address utilization management requirements. … Don’t forget to develop organized workflows for billing and to respond to utilization management requirements

5. AHRQ Older Adult Opioid Initiative | The Academy
   integrationacademy.ahrq.gov/about/initiatives/older-adult-opioid-initiative
   July 01, 2024 - healthcare systems to improve opioid medication management and prevent opioid misuse and opioid use … and adverse events (e.g., respiratory depression and fractures from falls), and OUD among older adults … management of opioid use and the prevention and treatment of opioid misuse. … Table of Opioid and Pain Management Tools and Resources (PDF 760K) List of tools and resources … Healthcare Cost and Utilization Project (HCUP). April 2020.

6. Fiscal Support for Behavioral Health Services | The Academy
   integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/secure-financial-support-behavioral-health-services
   September 01, 2025 - and more cost-effective care. … , offer specific reimbursement guidelines and programs for integrated behavioral health services, and … cost and utilization within value-based arrangements like bundled or prospective capitated payments. … Track utilization and outcomes : Consistent use of these codes will allow your practice or system to … While Medicare has a standardized PPS and AIR for FQHCs and RHCs, Medicaid offers states considerable

7. The Academy for Integrating Behavioral Health and Primary Care (pdf file)
   integrationacademy.ahrq.gov/sites/default/files/2025-04/AHRQ_Integration_Academy_Overview-508.pdf
   January 01, 2025 - • A practice team of primary care and behavioral health clinicians working together with patients and … , and ineffective patterns of health care utilization. … terms commonly used in the field and provides guidance to users for effective communication and … health and primary care. … Association of integrated team-based care with health care quality, utilization, and cost.

8. The Academy for Integrating Behavioral Health and Primary Care (pdf file)
   integrationacademy.ahrq.gov/sites/default/files/2025-05/AHRQ-Integration-Academy-Overview.pdf
   January 01, 2025 - • A practice team of primary care and behavioral health clinicians working together with patients and … , and ineffective patterns of health care utilization. … terms commonly used in the field and provides guidance to users for effective communication and … health and primary care. … Association of integrated team-based care with health care quality, utilization, and cost.

9. State of Opioid Use, Misuse, and Opioid Use Disorder among Older Adults (pdf file)
   integrationacademy.ahrq.gov/sites/default/files/2021-04/State_of_Opioid_Use_Among_Older_Adults.pdf
   January 01, 2021 - Accessed 8/8/2020. 2 Moriya, A.S. and Miller, G.E. … Department of Health and Human Services OoIG. … on Drug Use and Health: Detailed Tables. 2020. … Healthcare Cost and Utilization Project (HCUP). April 2020. … And high risk opioid prescribing is also common among Medicare Beneficiaries 65 and older.* Further,

10. Behavioral Health Integration Ecosystem Directory | The Academy
    integrationacademy.ahrq.gov/bhi-directory
    September 08, 2025 - , and webinars. … Promotes behavioral health integration efforts through the utilization of the Collaborative Care Model … Promotes behavioral health integration efforts through the utilization of the Collaborative Care Model … Promotes behavioral health integration efforts through the utilization of the Collaborative Care Model … Their mission is to improve health and wellness locally and globally through leadership and innovation

11. Opioid Epidemic COVID OUD Treatment Telehealth | The Academy
    integrationacademy.ahrq.gov/news-and-events/news/opioid-epidemic-and-covid-19-pandemic-oud-treatment-telehealth
    December 23, 2020 - The literature shows that Medicaid expansion has resulted in increased OUD treatment utilization and … The COVID-19 pandemic, however, and physical distancing and shelter-in-place precautions to mitigate … and workers, limiting access to treatment and care, particularly for racial/ethnic minorities. [ Read … The Centers for Disease Control and Prevention released guidance for increased use and coverage of telehealth … , and the Centers for Medicare & Medicaid Services has expanded the flexibility of Medicare and Medicaid

12. Identifying Patients Who Benefit from IBH | The Academy
    integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/establish-protocols-identify-patients-who-could-benefit-integrated-care
    February 01, 2025 - Effective protocols for identifying and engaging patients can improve both cost and quality. … to identify patients include reviewing problem lists or schedules, health record data, patterns of utilization … Develop Workflows and Protocols to Reliably Identify and Engage Your Target Population Now that … , it is time to develop standard workflows and protocols for reliably identifying and engaging your target … Use a multidisciplinary team of staff and providers to map out the current workflow and brainstorm ways

13. Payment and Reimbursement | The Academy
    integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/payment-and-reimbursement
    January 01, 2025 - Utilization Management Policies: Many payers—both public and private—employ benefit design limits and … utilization management strategies to control costs. … across payers, meaningful progress remains limited. 18 Step therapy is another utilization management … help address utilization management requirements. … Don't forget to develop organized workflows for billing and to respond to utilization management requirements

14. Success Stories | The Academy
    integrationacademy.ahrq.gov/expert-insight/success-stories
    February 01, 2024 - Patients are informed of the electronic and team approach and the use of within-system referrals.  … Cherokee strives to ensure good clinical decision-making always drives the utilization of information … The registry information is stratified and organized in series of clinical and financial reports that … their information technology system to support the Triple Aim by planning to incorporate population health … , cost, satisfaction, and outcomes together in one integrated system.

15. Atlas of Integrated Behavioral Health Care Quality Measures: Framework and Core Measures (pdf file)
    integrationacademy.ahrq.gov/sites/default/files/2021-09/ibhc_atlas_framework_and_measures.pdf
    January 01, 2021 - , and ineffective patterns of health care utilization. … and in shared care plans. … and in care plans. … These structures and office systems may involve clinicians, clinic and office staff, and office processes … expected and present.

16. Lexicon for Behavioral Health and Primary Care Integration: Concepts and Definitions Developed by Expert Consensus (pdf file)
    integrationacademy.ahrq.gov/sites/default/files/2020-06/Lexicon.pdf
    January 01, 2020 - , and ineffective patterns of health care utilization. … , and ineffective patterns of health care utilization. … performance or function; lower total health care cost • • Straightforward non-chronic medical … impairment; reduce disability, augment performance or function; lower total health care costs • … care cost: Assistance to high cost/high need patients through integrated care management Trained

17. A Sample of Behavioral Health Conditions Targeted by Apps and Corresponding Studies (pdf file)
    integrationacademy.ahrq.gov/sites/default/files/2023-07/Sample-of-Behavioral-Health-Apps-Studies.pdf
    January 01, 2023 - What works and what doesn’t work? … E-Health interventions for anxiety and depression in children and adolescents with long-term physical … Real-world reductions in healthcare resource utilization over 6 months in patients with substance use … Reduced healthcare resource utilization in patients with opioid use disorder in the 12 months after … and Sleep Disorders Studies on Apps Targeting Substance Use Studies on Apps Targeting Smoking and

18. Literature Collection | The Academy
    integrationacademy.ahrq.gov/products/literature-collection/about
    September 01, 2024 - outcomes, and Future Research Needs for the Integration of Mental Health/Substance Abuse and Primary … training), workforce (providers and other personnel), settings (practices, rural) and service delivery … utilization. … Grey Literature Non-journal article references (government and other reports, books and chapters, … and web resources).

19. Opioid Use Disorder Resources—2018 Updates | The Academy
    integrationacademy.ahrq.gov/news-and-events/news/opioid-use-disorder-resources-2018-updates
    January 11, 2018 - the signs and symptoms of an opioid overdose and the actions an observer should take. … the AHRQ Healthcare Cost and Utilization Project now provides county-level data of hospitalization rates … opioid use disorder and suggests strategies for providers to stay positive and avoid burnout. … the opioid epidemic and the incidence of HIV and hepatitis C. … drug misuse and abuse to support healthcare providers and their patients.

20. Implementing Medication-Assisted Treatment for Opioid Use Disorder in Rural Primary Care: Environmental Scan Volume 1 (pdf file)
    integrationacademy.ahrq.gov/sites/default/files/2020-06/mat_for_oud_environmental_scan_volume_1_1.pdf
    January 01, 2020 - utilization criteria and medication formularies may still pose significant barriers to accessing or … the provider will be left storing expensive medication that may expire.85 Utilization Management … their managed care organizations, have put in place utilization management policies that limit access … In Vermont, Medicaid beneficiaries receiving MAT had lower health care expenses and utilization of inpatient … utilization rates in Vermont.