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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.

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slide1

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
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 sector1
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
The Critical Role of Medicaid
  • In the public sector, razor-thin margins mean that
  • reimbursability is critical to sustainability
the critical role of medicaid1
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 medicaid2
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
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 centers1
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 policy research
The Fluid Nature of Management/PolicyResearch
  • Georgia’s shift to Managed Medicaid
the fluid nature of management policy research1
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 policy research2
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
Lessons Learned
  • Policy moves much faster than research
lessons learned1
Lessons Learned
  • Policy moves much faster than research
  • Policy decisions typically rely on a broad range of evidence
lessons learned2
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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