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Building Medicaid/Research Partnerships: Some Observations from the Ivory Tower Benjamin Druss MD, MPH June 27, 2005.

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Presentation on theme: "Building Medicaid/Research Partnerships: Some Observations from the Ivory Tower Benjamin Druss MD, MPH June 27, 2005."— Presentation transcript:

1 Building Medicaid/Research Partnerships: Some Observations from the Ivory Tower Benjamin Druss MD, MPH June 27, 2005

2 The Mental Health/Primary Care Interface in the Public Sector Even wider gap between mental health and primary care in the public sector than in the private sector

3 The Mental Health/Primary Care Interface in the Public Sector Even wider gap between mental health and primary care in the public sector than in the private sector Growing evidence that it is possible to improve quality on the primary care/mental health interface in these settings

4 The Critical Role of Medicaid In the public sector, razor-thin margins mean that reimbursability is critical to sustainability

5 The Critical Role of Medicaid In the public sector, razor-thin margins mean that reimbursability is critical to sustainability Medicaid is the dominant funder in these settings

6 The Critical Role of Medicaid In the public sector, razor-thin margins mean that reimbursability is critical to sustainability Medicaid is the dominant funder in these settings But there are a often a obstacles to funding evidence-based services under Medicaid

7 Developing Reimbursable Services for Depression in Community Health Centers RWJ grant to work with leadership of four Georgia Community Health Centers to improve depression care

8 Developing Reimbursable Services for Depression in Community Health Centers RWJ grant to work with leadership of four Georgia Community Health Centers to improve depression care Working with Medicaid to develop strategies for targeting reimbursement for key evidence-based depression services (e.g. case management)

9 The Fluid Nature of Management/Policy Research Georgias shift to Managed Medicaid

10 The Fluid Nature of Management/Policy Research Georgias shift to Managed Medicaid Now, the intervention has at once become more complicated and more simple

11 The Fluid Nature of Management/Policy Research Georgias shift to Managed Medicaid Now, the intervention has at once become more complicated and more simple New role for the Medicaid office

12 Lessons Learned Policy moves much faster than research

13 Lessons Learned Policy moves much faster than research Policy decisions typically rely on a broad range of evidence

14 Lessons Learned Policy moves much faster than research Policy decisions typically rely on a broad range of evidence Partnerships between researchers and purchasers must be built on a foundation of trust and personal relationships


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