title: Behavioral health and health care reform models: patient-centered medical home, health home, and accountable care organization.
abstract: Discussions of health care delivery and payment reforms have largely been silent about how behavioral health could be incorporated into reform initiatives. This paper draws attention to four patient populations defined by the severity of their behavioral health conditions and insurance status. It discusses the potentials and limitations of three prominent models promoted by the Affordable Care Act to serve populations with behavioral health conditions: the Patient-Centered Medical Home, the Health Home initiative within Medicaid, and the Accountable Care Organization. To incorporate behavioral health into health reform, policymakers and practitioners may consider embedding in the reform efforts explicit tools-accountability measures and payment designs-to improve access to and quality of care for patients with behavioral health needs.
authors.affiliation: Department of Public Health, Weill Cornell Medical College, New York, NY 10065, USA. yub2003@med.cornell.edu
authors.forename: Yuhua
authors.initials: Y
authors.lastname: Bao
authors.forename: Lawrence P
authors.initials: LP
authors.lastname: Casalino
authors.forename: Harold Alan
authors.initials: HA
authors.lastname: Pincus
mesh_terms: D060866:Accountable Care Organizations; D003695:Delivery of Health Care / Q000458:organization & administration*; D018166:Health Care Reform; D006801:Humans; D019458:Insurance Coverage; D007348:Insurance, Health; D008484:Medicaid; D058991:Patient Protection and Affordable Care Act; D018802:Patient-Centered Care / Q000458:organization & administration*; D012720:Severity of Illness Index; D014481:United States