Entries categorized as Insurance

Congress Temporarily Halts The SGR Cut

On March 3, 2010 / By Chris Fisher / In News / No Comments

us_capitolAt the urging of the APA Practice Organization (APAPO) and other provider groups, late last night the Senate voted 78-19 to pass legislation (H.R. 4691) to postpone the 21.2% Sustainable Growth Rate (SGR) cut through March 31 as Congress considers longer term solutions. The bill passed the House by voice vote on February 25 and now heads to the President for his signature. This action will prevent SGR reductions to reimbursements through the end of March. (read the full story)

Update On Legislative Action On The Sustainable Growth Rate (02/26/10)

On February 26, 2010 / By Chris Fisher / In News / No Comments

us_capitolOn February 25, the House passed legislation (H.R. 4691) to postpone the 21.2% Sustainable Growth Rate (SGR) cut for 30 days as Congress weighs longer term solutions. Over the past twenty-four hours, Senate leadership has sought unanimous consent to pass the measure, but has been blocked due to an objection from Senator Jim Bunning (R-KY). The SGR cut was postponed for two months late last year but is now expected to take effect on March 1, as the Senate has recessed for the weekend. (continue reading)

DSM-5 Proposed Revisions Include New Diagnostic Category Of Temper Dysregulation With Dysphoria

On February 25, 2010 / By Chris Fisher / In News / No Comments

The American Psychiatric Association’s draft diagnostic criteria for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) will include a proposed new diagnostic category, temper dysregulation with dysphoria (TDD), within the Mood Disorders section of the manual. (continue reading)

DSM-5 Proposed Revisions Includes New Risk Syndromes And Suicide Risk Assessment Tool

On February 21, 2010 / By Chris Fisher / In News, Suicide / No Comments

The American Psychiatric Association’s proposed diagnostic criteria for the fifth edition of Diagnostic and Statistical Manual of Mental Disorders (DSM) include a new suicide assessment tool, developed to help clinicians better identify individuals at risk for suicide. A new risk syndromes category, which would include two new diagnoses: psychosis risk syndrome and minor neurocognitive disorder, also has been proposed. (continue reading)

Summary Of The Interim Final Rule Implementing The Paul Wellstone And Pete Domenici Mental Health Parity And Addiction Equity Act

On February 19, 2010 / By Chris Fisher / In Public Health / No Comments

us_capitolThe American Psychological Association Practice Organization are pleased to report that the Departments of Health and Human Services, Labor and Treasury have released a highly favorable interim final rule implementing the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act (the “MHPAEA”).  This interim rule was released on February 2, 2010, and we anticipate that the regulators will finalize the rule sometime after a 90-day comment period.  We are attaching a summary of the interim final rule, which provides extensive detail on how the MHPAEA will be implemented.  Most health plans will have to meet the requirements of this new regulation for plan years beginning January 1, 2011, but in the meantime they must continue their “good faith” compliance with the law. (continue reading)

DSM-5 Proposed Revisions Will Include Binge Eating Disorder And Revisions To Other Eating Disorders Criteria

On February 13, 2010 / By Chris Fisher / In News / No Comments

The American Psychiatric Association’s proposed diagnostic criteria for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) will include new recognition of binge eating disorder and minor changes in the criteria for anorexia nervosa and bulimia nervosa. Other recommended changes acknowledge that some eating disorders identified as beginning in infancy and childhood may also develop in older individuals. (continue reading)

DSM-5 Development Process Includes Emphasis On Gender And Cultural Sensitivity

On February 11, 2010 / By Chris Fisher / In News / No Comments

The process for developing the American Psychiatric Association’s proposed diagnostic criteria for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) has included careful consideration of how gender, race and ethnicity may affect the diagnosis of mental illness, according to the team responsible for DSM-5 development. (continue reading)

DSM-5 Proposed Revisions Include New Category Of Autism Spectrum Disorders

On February 10, 2010 / By Chris Fisher / In Autism / No Comments

The American Psychiatric Association’s draft proposed diagnostic criteria for the fifth edition of Diagnostic and Statistical Manual of Mental Disorders (DSM) will include new categories for learning disorders and a single diagnostic category, “autism spectrum disorders” that will incorporate the current diagnoses of autistic disorder, Asperger’s disorder, childhood disintegrative disorder, and pervasive developmental disorder (not otherwise specified). (continue reading)

American Psychiatric Association (APA) Announces Draft Diagnostic Criteria For The DSM-5

On February 10, 2010 / By Chris Fisher / In News / No Comments

The American Psychiatric Association (APA) today released the proposed draft diagnostic criteria for the fifth edition of Diagnostic and Statistical Manual of Mental Disorders (DSM). The draft criteria represent content changes under consideration for DSM, which is the standard classification of mental disorders used by mental health and other health professionals, and is used for diagnostic and research purposes. (continue reading)

Update on Medicare Payment Efforts (02-03-10)

On February 3, 2010 / By Chris Fisher / In News / No Comments

us_capitolAs the fight for health care reform continues on Capitol Hill, we wanted to take a moment to update you on the APA Practice Organization’s efforts toward improving Medicare payments for practicing psychologists. At this time, the political situation on Capitol Hill remains very fluid. Following the loss of their super-majority in the Senate, Democratic leaders are reassessing their strategies on health care reform and a host of other issues. With much at stake for psychologists, their patients and their profession, we remain committed to health care reform. (continue reading)

Scheduling Capital Hill Appointments For 2010 State Leadership Conference

On January 30, 2010 / By Chris Fisher / In News / No Comments

us_capitolJeff Cook from The American Psychological Association Practice Organization (APAPO) released a urgent message for psychologists. The 2010 State Leadership Conference (SLC) is right around the corner (March 6-9), which means it is time to schedule Capitol Hill visits with members of your Congressional delegation. Each year, thanks to your hard work, there are more than 300 Congressional visits scheduled during SLC. This is annually an enormous boost to our federal advocacy effort. Check the end of this report to download: Sample Letter To Meet, APAPO Hill Appointment Schedule forms, and Key Members of Congress forms. (continue reading)

Nearly 1 In 3 Americans To Receive Medicare Or Medicaid Benefits in 2010 For Almost $1 Trillion

On January 15, 2010 / By Chris Fisher / In Public Health / No Comments

The Department of Health and Human Services (HHS) released their 2010 budget report on “Centers for Medicare & Medicaid Services Fiscal Year: Justification of Estimates for Appropriations Committees.”   HHS estimates that nearly 1 in 3 American will receive health insurance benefits through Medicare and Medicaid and related supplementary programs at cost of nearly $1 trillion dollars ($821 billion). The sustainability of these numbers over time is concerning and questionable given that the federal government collects around $3 trillion per year in total tax revenues. Keep in mind these figures do not include the many millions of people that will be added to Medicare and Medicaid if the current health bill plan passes through Congress. Check the end of the report for a few short citations from the lengthy report along with a link to review the complete HHS report. (continue reading)

Download The House Of Representatives (H.R. 3962) And Senate (H.R. 3590) Versions Of President Obama’s Healthcare Plan

On December 25, 2009 / By Chris Fisher / In News / No Comments

As most everyone knows, the Senate and House of Representatives passed healthcare legislation that dramatically affects how health-care is delivered in the United States. The Senate version of the bill is “The Patient Protection and Affordable Care Act,” while the House of Representatives is “The Affordable Health Care for America Act.” You will need to set aside time – much time – to read these lengthy 2000 page (each) documents. You might even want to have an attorney handy to decipher these sometimes incomprehensible documents. Check the end of this article for links to download a PDF of each bill and to read my first public comments. (more…)

Senate Passes Psychotherapy Restoration Extension (APAPO Action Request!)

On December 24, 2009 / By Chris Fisher / In News / No Comments

After a lengthy process and debate, the Senate finally passed its health care reform bill on December 24. The House and Senate will next meet in conference in January to begin to meld the two chambers’ versions together. Especially important for practitioners, both bills include our 5% Medicare psychotherapy restoration extension, as has each bill considered in committees of jurisdiction in both chambers. Following the implementation of across-the-board cuts resulting from the Centers for Medicare and Medicaid Services (CMS) five-year review, the APA Practice Organization (APAPO) successfully persuaded Congress in 2008 to restore payments for psychotherapy, the only codes that received relief. (more…)

Medicare Payment Changes Alert (12-18-09): Congress Temporarily Postpones SGR Cut

On December 18, 2009 / By Chris Fisher / In News / No Comments

us_capitolBusy month for Medicare/Medicaid related news. The American Psychological Association (APA) released a new action alert in regard to a delayed Sustainable Growth Rate cut with a request for clinicians to contact their Congress person. Check the end of the report for a link to contact your representative as well as a suggested letter. Previous important updates this month include 2010 Medicare Payment Changes: Questions and Answers, Update on Impact of Medicare Payment Changes in 2010, and Update on 2010 Medicare Fee Schedules (12-16-09). (more…)