Relative to patient centered access to behavioral health services in accountable care organizations
If enacted, the bill will mandate that all ACOs provide specific patient navigation and care coordination services for individuals diagnosed with or presenting symptoms of mental health conditions or substance use disorders. This requirement will not only enhance the quality of service delivery within ACOs but also aim to improve patient outcomes by facilitating more integrated and supportive care pathways. The bill also emphasizes the importance of timely communication between healthcare providers and advocates, particularly in the context of hospital discharges and referrals.
House Bill 1167, titled 'An Act relative to patient centered access to behavioral health services in accountable care organizations,' aims to improve accessibility to behavioral health services in Massachusetts through a structured framework within accountable care organizations (ACOs). The bill outlines the establishment of Patient Engagement Advocates who will play a pivotal role in navigating patients through the complexities of receiving mental health and substance use disorder treatment. These advocates are tasked with removing barriers to care, ensuring that patients receive appropriate referrals, and supporting them through the continuum of care.
While the bill is generally supported for its intent to enhance support for patients with behavioral health needs, some may argue about the feasibility and funding of the proposed initiatives, especially the requirement for ACOs to ensure that their staff meets the outlined certification standards. Additionally, concerns may arise regarding the administrative burden this could impose on existing healthcare frameworks, as ACOs might face challenges in meeting these new regulations. These points of contention underline the ongoing discussions about balancing effective care delivery with managing practicalities within the healthcare system.