New York state medicaid reforms: Opportunities and challenges to improve the health of those with serious mental illness

Enrico G. Castillo, Harold Alan Pincus, Thomas E. Smith, Gregory Miller, Douglas G. Fish

Research output: Contribution to journalComment/debate

2 Scopus citations

Abstract

Individuals with serious mental illness face multiple barriers to accessing care and experience disproportionately poor health outcomes. Starting in 2011, New York State undertook a series of major reforms of its Medicaid system designed to address these concerns. In this commentary we review three reforms that aim to change the way New York Medicaid is delivered and experienced, especially for underserved individuals with SMI: Health Homes, Behavioral Health Managed Care, and the Delivery System Reform Incentive Payment Program. We describe the history of these reforms’ and their core themes: coordination and collaboration, cross- sector collaborations to address social determinants of health, prevention and early intervention, and financial reform. We describe the challenges and opportunities these reforms present for improving the health and health care of Medicaid members with SMI, both in New York and as models for change elsewhere.

Original languageEnglish (US)
Pages (from-to)839-852
Number of pages14
JournalJournal of Health Care for the Poor and Underserved
Volume28
Issue number3
StatePublished - 2017

Keywords

  • Community mental health services
  • Health care reform
  • Health policy
  • Medicaid
  • Mental health
  • Public sector

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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