HSC 3015 Assignment The Business of Behavioral Health
HSC 3015 Assignment The Business of Behavioral Health
We continue to transition away from the very familiar and comfortable of the past half-century toward the less-known and more-unsettling service environment of today. The Affordable Care Act (ACA) is bringing into focus changes we have been seeking for decades—broadened insurance coverage, better behavioral health benefits, effective integrated care and improved linkages with social services. Yet, these welcome changes also are being accompanied by new organizational arrangements that are beginning to alter the business landscape of behavioral healthcare.
Not unexpectedly, the integration of service delivery also is accompanied frequently by parallel integration of previously long-standing service organizations. Simultaneously, Medicaid and Medicare are shifting away from encounter-based payments well suited to separate organizational service providers toward value purchasing—a new system based on prepaid case and capitation rates that favors large, single, integrated service organizations, whether public or private.
Philosophically, the new ACA service delivery model promotes whole person care centered in the person rather than in the service provider. Over time, this will lead to more self-directed care through improved personal health literacy and health activation.
Taken all together, these large scale changes are quite anxiety provoking to many in the behavioral health field. The following principles reflect some important considerations as we begin to adapt our behavioral healthcare business model to these new realities.
Differentiate public responsibility for the health of a particular population from the delivery of services that fulfills that responsibility. Public entities such as cities, counties and states cannot abrogate the inherent responsibility they hold for the health and well-being of their respective populations. This responsibility can be fulfilled by engaging in oversight–assessment, licensure, and evaluation functions—and by service delivery. However, actual care delivery can be delegated by the public entity to not-for-profit or private entities. Over time, we can expect more public entities to engage only in oversight functions and fewer to provide care directly.
Recognize that essential social supports will be a necessary part of oversight and service delivery functions. Such supports include housing, work and social networks. Public behavioral health entities in cities, counties and states should explore these functions as an essential adjunct to the core responsibility for the health and well-being of their populations. As with other service functions, they can be delivered directly or delegated by the public entity.
Be open to new contractual arrangements. When behavioral health and primary care organizations become linked or new, integrated, accountable care organizations are created, we will need to evolve joint accountability contracts. Such contracts will specify the required activities of each participating entity and the joint outcomes for which each participant is responsible. Such contracts have the potential to permit seamless integrated service delivery while preserving the identities of participating organizations.
Be open to working with behavioral health providers wherever such care is offered. Most immediately, this means that behavioral health providers in integrated accountable care organizations, in local jails and state and federal prisons, in primary care offices and other emerging settings should be welcomed into our field and into our professional activities. We have much to learn from them.
Together, these principles indicate the dimensions in which the ACA has fostered change in the service and funding environment for behavioral healthcare. They also suggest potential courses of action through which the field can respond to these changes. The hope is that they will foster both dialogue and action in the short term.
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Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
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Important information for writing discussion questions and participation
Welcome to class
Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to
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Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.
Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.
I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!
Hi Class,
Please read through the following information on writing a Discussion question response and participation posts.
Contact me if you have any questions.
Important information on Writing a Discussion Question
- Your response needs to be a minimum of 150 words (not including your list of references)
- There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
- Include in-text citations in your response
- Do not include quotes—instead summarize and paraphrase the information
- Follow APA-7th edition
- Points will be deducted if the above is not followed
Participation –replies to your classmates or instructor
- A minimum of 6 responses per week, on at least 3 days of the week.
- Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
- Each response needs to be at least 75 words in length (does not include your list of references)
- Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
- Follow APA 7th edition
- Points will be deducted if the above is not followed
- Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
- Here are some helpful links
- Student paper example
- Citing Sources
- The Writing Center is a great resource