SEIZE THE $50 BILLION SITE-OF-CARE SHIFT OPPORTUNITY
Get the tools, data, and insights to drive growth.
Learn more

 We are pausing publication of The Daily Briefing out of respect for the tragic passing of Brian Thompson. We will resume publication of this daily newsletter in the coming days.

Expert Insight

5 ways the 2024 MPFS final rule will impact behavioral healthcare

CMS' 2024 MPFS final rule targets key shortcomings in our behavioral healthcare system. Learn how it addresses issues around workforce, reimbursement, and other root causes of system dysfunction.

According to the Centers for Medicare & Medicaid Services (CMS), the 2024 Medicare Physician Fee Schedule (MPFS) final rule “finalized some of the most important changes to improve access to behavioral healthcare in the Medicare program’s history.” I can’t confirm this statement, since I’m not a Medicare historian, but I am encouraged by five elements of the final rule — and here’s why.

Through our research, we identified five root causes of dysfunction and inequity in our behavioral health  care system: stigma, social determinants of health (SDOH), lack of research, low reimbursement/lack of affordability, and lack of workforce. It’s true that core healthcare stakeholders like payers, providers, and life sciences companies need to take deliberate action to dismantle these root causes, but they can’t do it on their own: structural change on this scale requires changes in policy, including payment policy.

Here are five ways the 2024 MPFS final rule supports structural change in behavioral healthcare:


SPONSORED BY

INTENDED AUDIENCE
  • Health plans
  • Hospitals and health systems
  • Physicians and medical groups

AFTER YOU READ THIS
  • You should evaluate opportunities to better leverage MFTs, MHCs, peer support workers, and CHWs.
  • You should implement or scale reimbursable social needs screening in preventive care.
  • You should assess your/your partners’ adherence to payment parity for therapy and crisis care.
  • You should explore how PIN may support your high-risk care management strategies.

Don't miss out on the latest Advisory Board insights

Create your free account to access 1 resource, including the latest research and webinars.

Want access without creating an account?

   

You have 1 free members-only resource remaining this month.

1 free members-only resources remaining

1 free members-only resources remaining

You've reached your limit of free insights

Become a member to access all of Advisory Board's resources, events, and experts

Never miss out on the latest innovative health care content tailored to you.

Benefits include:

Unlimited access to research and resources
Member-only access to events and trainings
Expert-led consultation and facilitation
The latest content delivered to your inbox

You've reached your limit of free insights

Become a member to access all of Advisory Board's resources, events, and experts

Never miss out on the latest innovative health care content tailored to you.

Benefits include:

Unlimited access to research and resources
Member-only access to events and trainings
Expert-led consultation and facilitation
The latest content delivered to your inbox
AB
Thank you! Your updates have been made successfully.
Oh no! There was a problem with your request.
Error in form submission. Please try again.