NMHU 3 rd Annual Alcohol & Substance Abuse Treatment Conference May 12-15, 2014.
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Transcript of NMHU 3 rd Annual Alcohol & Substance Abuse Treatment Conference May 12-15, 2014.
NMHU 3rd Annual Alcohol & Substance Abuse Treatment Conference
May 12-15, 2014
The Affordable Care Act: Four Key Strategies
Prevalence of Behavioral Conditions Among Medicaid Expansion Population: New Mexico
5
CI = Confidence IntervalSources: 2008 - 2010 National Survey on Drug Use and Health (Revised March 2012)
2010 American Community Survey
7.0% 14.9% 14.2%4.3% 11.2% 8.4%0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
Serious Mental Illness NM CI: 2.5% - 7.3%U.S. CI: 6.3% - 7.7%
Serious Psychological Distress
NM CI: 6.6% - 18.3%U.S. CI: 14% - 15.9%
Substance Use Disorder NM CI: 5.4% - 12.9%
U.S. CI: 13.2% - 15.2%
Pre
vale
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Rat
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Uninsured Adults Ages 18-64 with Incomes < 139% of the Federal Poverty Level (New Mexico: 170,472)
National
New Mexico
Confidence Interval
I
New Mexico Medicaid Expansion Projections:
• Medicaid Expansion = 170,472
SMI (4.3%) = 7,330 SERIOUS PSYCH DISTRESS (11.2%) =
19,093 SUD (8.4%) = 14,320
TOTAL = 40,743
Prevalence of Behavioral Conditions Among Health Insurance Exchange Population: New Mexico
7
CI = Confidence IntervalSources: 2008 - 2010 National Survey on Drug Use and Health (Revised March 2012)
2010 American Community Survey
6.0% 13.3% 14.6%2.8% 6.1% 17.6%0%
5%
10%
15%
20%
25%
30%
Serious Mental Illness NM CI: 1.1% - 6.9%U.S. CI: 5.5% - 6.6%
Serious Psychological Distress
NM CI: 3.6% - 10.3%U.S. CI: 12.5% - 14.2%
Substance Use Disorder
NM CI: 12.1% - 25%U.S. CI: 13.7% - 15.6%
Pre
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Uninsured Adults Ages 18 - 64 with Incomes Between 133-399% of the Federal Poverty Level (New Mexico: 157,091)
National
New Mexico
Confidence Interval
I
New Mexico Marketplace Exchanges Projections:
• MARKETPLACE EXCHANGES = 157,091
SMI (2.8%) = 4,399 SERIOUS PSYCH DISTRESS (6.1%) =
9,583 SUD (17.6%) = 27,648
TOTAL = 41,630
New Mexico Data
Marketplace Plan Selection = 32,062
Medicaid/CHIP Enrollment = 60,378
Total = 92,440
30 % BH Disorders = 27,732 of 82,373
Enrollment Resources
SAMHSA Enrollment Webpage
o http://www.samhsa.gov/enrollment/
State Reform Exchange Decisions
o http://www.statereforum.org/node/10222
Enroll America Best Practices
o http://www.enrollamerica.org/best-practices-institute
Healthcare.gov
o http://www.healthcare.gov/marketplace/index.html
HHS Partners Resources
o http://www.cms.gov/Outreach-and-Education/Outreach/HIMarketplace/index.html
SAMHSA HEALTH REFORM TOOLKITS
http://tiny.cc/CommunityPrevention
http://tiny.cc/ConsumerPeerFamily
http://tiny.cc/HomelessServices
http://tiny.cc/CriminalJustice
http://tiny.cc/TreatmentProviders
http://tiny.cc/GettingReady
(GENERAL)
Changing Health Care Environment
Prevention/Wellness rather than illness
SA/MH Services are Essential Health Benefit
Quality rather than Quantity – saving costs through better care rather than less care
Inclusive – Goal is to provide access to care
Public Payers’ Roles changing
Implications for the Workforce
Opportunities
ACA – new enrollment and payment opportunities
Emerging science Healthcare integration Parity – MHPAEA Final Rule AG’s call for treatment rather
than incarceration for SA ↑ understanding of BH role in
health promotion, prevention, treatment and costs
President’s/nation’s attention to MH issueso www.mentalhealth.govo www.creatingcommunitysolutions.org
DAILY DISASTER OF UNPREVENTED AND UNTREATED M/SUDs
14
Region 6 Profile
State Capital Population1 Pop. Density2 Joint
SUD Prevalence3
SMI Prevalence4
Suicide Rate5
Arkansas Little Rock 2,915,918 56 Yes 6.94 5.41 15.5
Louisiana Baton Rouge 4,533,372 104.9 Yes 7.66 3.78 12.3
New Mexico Santa Fe 2,059,179 17 Yes 9.15 4.51 20.1
Oklahoma Oklahoma City 3,751,351 54.7 Yes 9.15 5.06 16.5
Texas Austin 25,145,561 96.3 Yes 8.13 3.33 11.7
United StatesWashington,
DC308,745,538 87.4 N/A 8.5 3.9 12.1
1U.S. Census 2010 resident population, all ages2U.S. Census 20103SAMHSA, NSDUH 2010-2011, Table 19. Dependence on or Abuse of Illicit Drugs or Alcohol in Past Year among Persons Aged 18 or Older (Substance Use Disorder). 4SAMHSA, NSDUH 2010-2011, Table 22. Serious Mental Illness in Past Year among Persons Aged 18 or Older (revised October 2013). 5CDC, National Vital Statistics System-Mortality (NVSS-M) 2010, per 100,000
MENTAL HEALTH & ADDICTION EQUITY ACT (MHAEPA)
• The Mental Health Parity and Addiction Equity Act requires insurance groups that offer coverage for mental health or substance use disorders to provide the same level of benefits that they do for general medical treatment. Visit "Parity" to learn more.
Mental Health Parity and Addiction Equity Act (MHPAEA)
A group health plan and a health insurance issuer offering health insurance coverage in the group or individual market
must ensure that
Financial requirements (such as copays and deductibles)
applicable to mental health or substance use disorder (MH/SUD) benefits are no more restrictive than
and Treatment limitations (such as visit limits)
the predominant requirements or limitations applied to substantially all medical/surgical benefits.
MHPAEA/ACA: Projected Reach
*These estimates include individuals and families who are currently enrolledin grandfathered coverage
2015 BUDGET/WORKFORCE
SAMHSA 2015 PROPOSED BUDGET
PROTECTING THE HEALTH OF CHILDREN AND COMMUNITIES
Now Is the Time – $130 M (+ $15.0 M)
$115 M continued from FY 2014
Science of Changing Social Norms (+ $4 M)
Peer Professionals (+ $10 M)
Workforce Data (+ $1.0 M)
STRENGTHENING & INTEGRATING CARE
Primary Care and Addiction Services Integration (PCASI) – + $20 M
• Allow addiction treatment providers to offer an array of physical health and addiction treatment services
• Modeled after Primary/Behavioral Health Care Integration (PBHCI) program
LEADING CHANGE 2011 – 2014 8 STRATEGIC INITIATIVES
LEADING CHANGE 2.0: 2015 – 2018•Out for public comment this month•Will contain 6 initiatives•Will guide the next 4 years•Final early fall
SAMHSA’s StrategicInitiatives 2011 – 2014
1. Prevention
2. Trauma and Justice
3. Military Families
4. Recovery Support
5. Health Reform
6. Health Information Technology
7. Data, Outcomes & Quality
8. Public Awareness & Support
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SAMHSA’s Strategic Initiatives 2015 – 2018
1.Prevention2.Health Care and Health Systems Integration3.Trauma and Justice4.Recovery Support5.Health Information Technology6.Workforce
SAMHSA OF THE FUTURE – FY 2014 AND BEYOND
SAMHSA’s Strategic Initiatives
SAMHSA’S THEORY OF CHANGE
“NOT YOUR GRANDMOTHER’S SAMHSA”
• Leadership & Voice – Influencing Public Policy
• Data & Surveillance
• Practice Improvement
• Grant Making w/ a Designated Purpose
• Regulation/Guidelines
• Public Awareness/Education
Thank you!
Michael DuffySAMHSA Regional Administrator-HHS Region VI
(AR, LA, NM, OK, TX)US Dept. of Health and Human Services1301 Young StreetSuite 1030Dallas, Texas [email protected]: 214-767-0522