I found this very interesting and since I am “Dual Diagnosed” in recovery and live with mental health challenges. I feel this will hit many States when Trump dismantles Obama-care marketplace.
If you haven’t heard, there’s been serious discussion about making major changes to publicly funded mental health and substance use disorders in Michigan. The current system carves out money for those services and give it to 10 regional entities that contract for and oversee Community Mental Health services and substance use disorder services. The question is whether that should continue or whether the money and responsibility should be given to the HMOs serving Michigan Medicaid recipients.
There are ways in which it seems sensible and de-stigmatizing to have Medicaid recipients receive services just like everyone else—through their insurer.
On the other hand, the people served by the public system often represent the most severe and complex cases. In response to this severity and complexity, public systems has developed systems of care that include things like peer support, supportive housing, employment support, and mental health club houses. They also work…
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