Matters + Minds

Welcome to Matters + Minds! Learn about different social and economic topics in California and the rest of the US. Follow @MattersandMinds on Twitter, and you can subscribe to receive e-mail notifications with each new post.

 

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federal policy & funding breakdown 

How is the us health & human services agency organized?

 

-US Health & Human Services website: HHS Organizational Chart. https://www.hhs.gov/about/agencies/orgchart/index.html?language=es

What Is the Legislative History on US Mental Health Policy?

-Centers for Medicare & Medicaid Services (CMS) website: Center for Consumer Information & Insurance Oversight. https://www.cms.gov/CCIIO/Programs- and-Initiatives/Other-Insurance-Protections/mhpaea_factsheet.html

-National Institute of Mental Health (NIMH) website: What We Do. https://www.nih.gov/about-nih/what-we-do/nih-almanac/national-institute-mental-health-nimh.

-National Alliance on Mental Illness (NAMI) website: Who We Are. http://www.nami.org/About-NAMI.

-Professor Marylou Sudders, as part of online archived course HarvardX: PH210x United States Health Policy, offered as part of EdX.org. Session 6.2, Topic 2: History of Mental Health Policy & Services. https://courses.edx.org/courses/HarvardX/PH210x/1T2014/courseware/92b69f62ecae43de999149e2f70bfbfb/9b5bf0a344694460ae160df1e56d1fde/

 

 

how does the federal government finance mental health services?

 

-Congressional Research Service (via Federation of American Scientists website). "Medicaid's Federal Medical Assistance Percentage (FMAP)". https://fas.org/sgp/crs/misc/R43847.pdf

-Medicaid & CHIP Payment & Access Commission (MACPAC) website/pdf: Chapter 4, Behavioral Health in the Medicaid Program-People, Use and Expenditures. https://www.macpac.gov/wp-content/uploads/2015/06/Behavioral-Health-in-the-Medicaid-Program%E2%80%94People-Use-and-Expenditures.pdf

-Substance Abuse & Mental Health Services Administration (SAMHSA) website/pdf: FY 2016 Operating Plan. https://www.samhsa.gov/sites/default/files/fy2016- samhsa- operating-plan.pdf

-Professor Marylou Sudders, as part of online archived course HarvardX: PH210x United States Health Policy, offered as part of EdX.org. Session 6.2, Topic 3: Financing Structures. https://courses.edx.org/courses/HarvardX/PH210x/1T2014/courseware/92b69f62ecae43de999149e2f70bfbfb/c9d377a385fa44fb9c31929070e1e548/

-US Health & Human Services Agency (HHS) website: FY 2016 Budget in Brief. https://www.hhs.gov/about/budget/budget-in-brief/cms/index.html

-US Health & Human Services Grants.gov Blog: “What is a Block Grant?”. https://blog.grants.gov/2016/06/15/what-is-a-block-grant/

 

how does the affordable care act affect current policy?

-PubMed Central Archives: US Nat’l Library of Medicine at National Institutes of Health. “Behavioral Healthy Parity & the Affordable Care Act”. Authors: Richard G. Frank, Ph.D., Professor, Kirsten Beronio, J.D., Division Director, and Sherry A. Glied, Ph.D., Dean https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4334111/

-Professor Marylou Sudders, as part of online archived course HarvardX: PH210x United States Health Policy, offered as part of EdX.org. Session 6.2, Topic 5: Current Policy & Future Directions. https://courses.edx.org/courses/HarvardX/PH210x/1T2014/courseware/92b69f62ecae43de999149e2f70bfbfb/2c97a4fc56274abb9e70d53b63e1a58c/

 
 
 
 

insurance: Private markets

& mental health coverage in public plans

What is the legislative history on private health insurance?

-Centers for Medicare & Medicaid Services (CMS) website. Center for Consumer Information & Insurance Oversight: The Mental Health Parity & Addiction Equity Act. https://www.cms.gov/CCIIO/Programs-and-Initiatives/Other-Insurance-Protections/mhpaea_factsheet.html

-Professor Katherine Swartz. Section 4.2 Topic 1: Origin of Employer-Sponsored Insurance. https://courses.edx.org/courses/HarvardX/PH210x/1T2014/courseware/1ae1a0e09ae44cda8b1d6f01abb1b184/50b15470c0764381b18eaa439b566882/

-Self-Insurance Institute of America, Inc. “Self-Insured Group Health Plans”. http://www.siia.org/i4a/pages/Index.cfm?pageID=4546  (on ERISA act)

What are the types of private insurance markets & how competitive are they?

-Dark Daily http://www.darkdaily.com/american-medical-associations-study-of-nations-25-largest-health-insurers-indicates-that-biggest-companies-hold-dominant-market-share-in-most-regional-markets-109#axzz4VhShzYD2

-Government Accountability Office (GAO) website/pdf: Government Accountability Office Report on Private Health Insurance Markets. http://www.gao.gov/assets/670/667245.pdf

-Kaiser Initiative on Health Reform and Private Health Insurance, Focus on Health Reform: How Competitive are State Insurance Markets? http://kff.org/health-reform/issue-brief/how-competitive-are-state-health-insurance-markets/

-Professor Katherine Swartz. Section 4.2, Topic 2: Types of Insurance Markets. https://courses.edx.org/courses/HarvardX/PH210x/1T2014/courseware/1ae1a0e09ae44cda8b1d6f01abb1b184/af3f75d3501f4efe8a890374ea67bf91/

-Self-Insurance Institute of America, Inc. “Self-Insured Group Health Plans”. http://www.siia.org/i4a/pages/Index.cfm?pageID=4546  (on ERISA

How is behavioral health covered in public insurance & ACA marketplace?

--Healthcare.gov website. Health Benefits & Coverage: Mental Health & Substance Abuse Coverage. https://www.healthcare.gov/coverage/mental-health-substance-abuse-coverage/

-Medicare website: Medicare Mental Health Benefits: https://www.medicare.gov/pubs/pdf/10184-Medicare-Mental-Health-Bene.pdf

 
 
 

pharmaceutical industry & meds 

Pharma Economics & Policy 101:

 

-Dr. Jerry Avorn, as part of online archived course, HarvardX: PH210x United States Health Policy, offered as part of EdX.org. Section 7.1, Topics 3 & 5: Overview of the Drug Industry and Pharmaeconomics respectively. https://courses.edx.org/courses/HarvardX/PH210x/1T2014/courseware/8663e2d83a5445e89c174be528a0cee1/30b929e99c334750a0c2894a97c7b4a9/

-FiercePharma website. "Pfizer, Forest and Lilly Domiate Top 10 Ranking of Psych Meds." http://www.fiercepharma.com/sales-and-marketing/pfizer-forest-and-lilly-dominate-top-10-ranking-of-psych-meds

-PMLive website. "Top 25 Pharma Companies by Global Sales." http://www.pmlive.com/top_pharma_list/global_revenues

-PMLive website. "Top 15 Pharma Companies in the US." http://www.pmlive.com/top_pharma_list/us_revenues

 

Major Psych Meds:

-National Institute of Mental Health website. Mental Health Medications. https://www.nimh.nih.gov/health/topics/mental-health-medications/index.shtml#part_149855

-PsychCentral. "Top 25 Psychiatric Medication Prescriptions for 2013." https://psychcentral.com/lib/top-25-psychiatric-medication-prescriptions-for-2013/