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Medicaid beneficiaries who receive care for mental health or substance abuse have greater physical health needs and higher overall costs than other beneficiaries, indicating the need for better integration of physical and behavioral health care under Medicaid, according to Providing Care to Medicaid Beneficiaries with Behavioral Health Conditions: Challenges for New York, a February 2011 report from the Medicaid Institute at United Hospital Fund in New York City.
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Hospitalization rates in Medicaid programs were lower in areas with a greater number of primary care physicians, and in states that on average provided more outpatient visits and paid more per outpatient visit, according to a study published in Health Affairs.
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The foundation that was laid for the operation of Arkansas' Cash and Counseling demonstration and the Independent Choices program was "unique from the very start," says Deborah Ellis, a program administrator with the Arkansas Department of Human Services' Division of Aging and Adult Services. "It truly was a spirit of teamwork on all levels to implement this new program."
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IRBs and research offices need a variety of procedures and tools to ensure compliance. One tool that sometimes is overlooked is requiring research sites to develop corrective action plans (CAPs) when they have problems.
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Most major corporations and business sectors have adopted business quality improvement (QI) measures like Six Sigma, Lean Process, and others. But in human subjects research, this type of QI approach is fairly new, an expert says.
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In assessing the recent revisions to the Common Rule proposed by the Department of Health and Human Services (HHS), the accrediting agency for human subjects protection programs suggests that HHS may lack the necessary information to move forward with a final rule.
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Research ethicists and others have long described the value of recruiting more minorities in clinical research (CR) trials, but the question is whether or not IRBs have a role to play in advancing this goal.
