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Building Medicaid/Research Partnerships: Some Observations from the Ivory Tower. Benjamin Druss MD, MPH June 27, 2005. The Mental Health/Primary Care Interface in the Public Sector. Even wider gap between mental health and primary care in the public sector than in the private sector.

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Building Medicaid/Research Partnerships: Some Observations from the Ivory Tower

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Building Medicaid/Research Partnerships:

Some Observations from the Ivory Tower

Benjamin Druss MD, MPH

June 27, 2005


The Mental Health/Primary Care Interface in the Public Sector

  • Even wider gap between mental health and primary care

  • in the public sector than in the private sector


The Mental Health/Primary Care Interface in the Public Sector

  • Even wider gap between mental health and primary care

  • in the public sector than in the private sector

  • Growing evidence that it is possible to improve quality

  • on the primary care/mental health interface in these settings


The Critical Role of Medicaid

  • In the public sector, razor-thin margins mean that

  • reimbursability is critical to sustainability


The Critical Role of Medicaid

  • In the public sector, razor-thin margins mean that

  • reimbursability is critical to sustainability

  • Medicaid is the dominant funder in these settings


The Critical Role of Medicaid

  • In the public sector, razor-thin margins mean that

  • reimbursability is critical to sustainability

  • Medicaid is the dominant funder in these settings

  • But there are a often a obstacles to funding evidence-based

  • services under Medicaid


Developing Reimbursable Services for Depression in Community Health Centers

  • RWJ grant to work with leadership of

  • four Georgia Community Health Centers to improve

  • depression care


Developing Reimbursable Services for Depression in Community Health Centers

  • RWJ grant to work with leadership of

  • four Georgia Community Health Centers to improve

  • depression care

  • Working with Medicaid to develop

  • strategies for targeting reimbursement for key

  • evidence-based depression services (e.g. case management)


The Fluid Nature of Management/PolicyResearch

  • Georgia’s shift to Managed Medicaid


The Fluid Nature of Management/PolicyResearch

  • Georgia’s shift to Managed Medicaid

  • Now, the intervention has at once become more

  • complicated and more simple


The Fluid Nature of Management/PolicyResearch

  • Georgia’s shift to Managed Medicaid

  • Now, the intervention has at once become more

  • complicated and more simple

  • New role for the Medicaid office


Lessons Learned

  • Policy moves much faster than research


Lessons Learned

  • Policy moves much faster than research

  • Policy decisions typically rely on a broad range of evidence


Lessons Learned

  • Policy moves much faster than research

  • Policy decisions typically rely on a broad range of evidence

  • Partnerships between researchers and purchasers must be

  • built on a foundation of trust and personal relationships


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