E.g. taxes on: Cadillac insurance plans o [Luxurious/extravagant insurance plans - with frivolous benefits (e.g. coverage of daily massages] Indoor tanning [Companies that make expensive, highly lucrative medical equipment] CBO estimates based on direct inlays and outlays o [CBO – Congressional Budget Office] $200 billion reduction in federal deficit over 10 years (2012-2021) Tentatively reduction of $1.2 trillion the following decade o [Meaning health care industry will bring in $1.2 trillion more than what we are spending] Estimate may be conservative because: o Does not account for the potential health savings of having a more effective healthcare system [Health care cost will level off, may even decrease over time (rather than continuing to skyrocket)] - Clinical and Policy Implications for You o Mental healthcare coverage will expand dramatically Greater parity [with physical conditions] [Insurers will be required to cover mental healthcare at the same level as physical health issues] Greater coverage for those most in need [Those who are low-income (dealing with issues that come with/are associated with being low-income) are more likely to have mental health issues and so,]
o ]Medicaid expansion and expansion of mental healthcare coverage are important] o Mental healthcare will look different Greater focus on : Prevention Community-based approaches o (And not individual therapy approaches) Expansion of integrated care Psychologists on multidisciplinary teams (giving integrated care) [Expansion of mental healthcare in a primary care setting] o Increased accountability across the board Less money will be given to insurers, suppliers, hospitals, and clinicians who contribute least to the nation’s health [E.g. significantly less money given to someone running high-cost individual therapy – in comparison to those running early childhood community interventions] More money for: o Prevention o Primary care o Effective systems Less money given to specialists (e.g. anesthesiologists) o State-wide Innovation Canada’s single-payer program Began after Tommy Douglas ’s success in Saskatchewan [Canada’s healthcare system is more efficient, more effective, and more cost-effective than ours] o [They allowed for innovation across different provinces – Saskatchewan created a great program, the other provinces adopted it] Several states may attempt this in 2017 This provision – provides many opportunities for activism Interested states: Vermont, Montana, Massachusetts, California, Oregon, Illinois [Vermont will likely be the first] - Research Implications for You o Overview Enhancing quality and cost compels research evaluating all aspects of the healthcare system Requires skills in person-oriented research E.g. psychology o [This is a tremendous growth area for psychologists] [Requires researchers with a knowledge/understanding of people] o [Looking at questions like: How do we create more effective interventions and measures?
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- Spring '12
- Experimental Psychology, Centers for Medicare and Medicaid Services, insurance companies, e.g.