Margarita Alegría, Benjamin Cook, Stephen Loder, Michael Doonan
Massachusetts is in the midst of a demographic shift that will leave the state with unprecedented ethnic, racial and cultural diversity. In light of this change, health care services in the Commonwealth need to respond to and serve an increasingly multicultural population. The time is now for bold initiatives to reduce behavioral health and health service disparities by building collaborations between policymakers, insurers/payers, provider organizations, training institutions, and community groups. In the same way collaboration among diverse stakeholders enabled the Commonwealth to lead the nation in achieving near universal access to health insurance, a new collaboration can pave the way for the elimination of behavioral health and health care disparities. This brief compiles current information on racial and ethnic disparities in mental health and substance use disorders and treatment disparities in Massachusetts. It concludes with state level policy recommendations. The Brief does not recommend policies already in motion, such as moving to universal insurance coverage, enforcement of parity laws, policies to expand coverage of drug treatment services or greater inclusion of consumers in the development and configuration of behavioral health services. Recommendations offered are based on best practices and evidence-based research. Most research, however, studies incremental changes. To transform rather than reform the system, we integrate consideration of experience and research from other policy areas. The ultimate goal is to generate an action plan that motivates policymakers to address persistent racial and ethnic disparities in the availability and quality of behavioral health services in the Commonwealth.
{"title":"The time is now: tackling racial and ethnic disparities in mental and behavioral health services in Massachusetts.","authors":"Margarita Alegría, Benjamin Cook, Stephen Loder, Michael Doonan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Massachusetts is in the midst of a demographic shift that will leave the state with unprecedented ethnic, racial and cultural diversity. In light of this change, health care services in the Commonwealth need to respond to and serve an increasingly multicultural population. The time is now for bold initiatives to reduce behavioral health and health service disparities by building collaborations between policymakers, insurers/payers, provider organizations, training institutions, and community groups. In the same way collaboration among diverse stakeholders enabled the Commonwealth to lead the nation in achieving near universal access to health insurance, a new collaboration can pave the way for the elimination of behavioral health and health care disparities. This brief compiles current information on racial and ethnic disparities in mental health and substance use disorders and treatment disparities in Massachusetts. It concludes with state level policy recommendations. The Brief does not recommend policies already in motion, such as moving to universal insurance coverage, enforcement of parity laws, policies to expand coverage of drug treatment services or greater inclusion of consumers in the development and configuration of behavioral health services. Recommendations offered are based on best practices and evidence-based research. Most research, however, studies incremental changes. To transform rather than reform the system, we integrate consideration of experience and research from other policy areas. The ultimate goal is to generate an action plan that motivates policymakers to address persistent racial and ethnic disparities in the availability and quality of behavioral health services in the Commonwealth.</p>","PeriodicalId":84949,"journal":{"name":"Issue brief (Massachusetts Health Policy Forum)","volume":" 43","pages":"1-53"},"PeriodicalIF":0.0,"publicationDate":"2014-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33123357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Overweight and obesity in Massachusetts: a focus on physical activity.","authors":"Jennifer Sacheck, Amy Glynn","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":84949,"journal":{"name":"Issue brief (Massachusetts Health Policy Forum)","volume":" 41","pages":"1-35"},"PeriodicalIF":0.0,"publicationDate":"2012-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30644141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Substance exposed newborns: addressing social costs across the lifespan.","authors":"Margaret L O'Brien, Susan M Phillips","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":84949,"journal":{"name":"Issue brief (Massachusetts Health Policy Forum)","volume":" 40","pages":"1-49"},"PeriodicalIF":0.0,"publicationDate":"2011-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30063750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
On November 30, 2010, the Massachusetts Health Policy Forum will convene a forum to examine models of accountable health care delivery. The forum will showcase organizations from Massachusetts and other states that have taken significant steps toward improving the efficiency and quality of health care delivery through vertically and virtually integrated systems. Local stakeholders representing government, payers, providers and consumers will discuss challenges and opportunities for the Commonwealth in promoting accountable care. This paper outlines the challenge of rising health care costs in Massachusetts and provides a brief summary of actions and reports by state officials to address quality and cost concerns. It then discusses the concept of accountable care delivery and related models of coordinated health care. Next, it provides a short overview of the five organizations invited to describe their delivery models. Finally, it identifies unresolved issues that may be addressed at the forum.
{"title":"Achieving accountable care in Massachusetts: payment reform to drive delivery system change.","authors":"Michael T Doonan, Katharine Tull","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>On November 30, 2010, the Massachusetts Health Policy Forum will convene a forum to examine models of accountable health care delivery. The forum will showcase organizations from Massachusetts and other states that have taken significant steps toward improving the efficiency and quality of health care delivery through vertically and virtually integrated systems. Local stakeholders representing government, payers, providers and consumers will discuss challenges and opportunities for the Commonwealth in promoting accountable care. This paper outlines the challenge of rising health care costs in Massachusetts and provides a brief summary of actions and reports by state officials to address quality and cost concerns. It then discusses the concept of accountable care delivery and related models of coordinated health care. Next, it provides a short overview of the five organizations invited to describe their delivery models. Finally, it identifies unresolved issues that may be addressed at the forum.</p>","PeriodicalId":84949,"journal":{"name":"Issue brief (Massachusetts Health Policy Forum)","volume":" 39","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2010-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29542676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A strategy for healthy aging in Massachusetts: synthesis of steering committee meetings and progress.","authors":"Walter Leutz, Abby Driscoll","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":84949,"journal":{"name":"Issue brief (Massachusetts Health Policy Forum)","volume":" 38","pages":"i-ii, 1-15"},"PeriodicalIF":0.0,"publicationDate":"2010-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29479726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Healthy aging in the Commonwealth: pathways to lifelong wellness.","authors":"Walter Leutz, Abby Driscoll, Caitlin Slodden","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":84949,"journal":{"name":"Issue brief (Massachusetts Health Policy Forum)","volume":" 37","pages":"1-33"},"PeriodicalIF":0.0,"publicationDate":"2009-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28739514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Putting the mouth back in the body: improving oral health across the Commonwealth.","authors":"Signe Peterson Flieger, Michael T Doonan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":84949,"journal":{"name":"Issue brief (Massachusetts Health Policy Forum)","volume":" 36","pages":"1-46"},"PeriodicalIF":0.0,"publicationDate":"2009-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28296855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Childhood obesity in Massachusetts: costs, consequences and opportunities for change.","authors":"Jennifer Sacheck, Valerie Clark","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":84949,"journal":{"name":"Issue brief (Massachusetts Health Policy Forum)","volume":" 35","pages":"1-37"},"PeriodicalIF":0.0,"publicationDate":"2008-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27526680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Universal coverage and individual mandate in Switzerland: lessons for Massachusetts.","authors":"Béatrice Schaad Noble","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":84949,"journal":{"name":"Issue brief (Massachusetts Health Policy Forum)","volume":" 33","pages":"1-16"},"PeriodicalIF":0.0,"publicationDate":"2007-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26823111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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