Colorado is joining about a dozen other states that are not requiring health insurance companies to revive canceled health plans.
No one mentioned cancellation notices. And no one expressed concerns about costs. Instead, at a sparsely attended public meeting about health insurance issues Tuesday evening, potential customers wanted to know if they could skip filling out Colorado’s complex Medicaid application.
Health exchange board members on Monday pressed for immediate improvements to Colorado’s mandatory Medicaid application, but state officials, who contend that Colorado is a “shining example” among the states, refused to promise that a full slate of short-term fixes will be completed before Dec. 15.
Colorado has no quick fix for a seemingly endless Medicaid application that health exchange board members believe is driving away customers and decreasing the number of people buying health insurance through Colorado’s new multi-million dollar health exchange.
In Choosing Wisely, physicians across the spectrum of medical specialties nationwide have created lists of procedures, tests and drug treatments that deserve second thoughts before doctors order them or patients accept them.
'Raw' from tragedies, governor calls for mental health overhaul
Posted on 18 December 2012
By Katie Kerwin McCrimmon
Gov. John Hickenlooper is calling for an $18.5 million increase in state funding to strengthen mental health in Colorado with instant mental health updates available for gun background checks, a statewide 24-hour phone crisis hotline, walk-in mental health centers and a new streamlined commitment law to make Colorado communities safer.
Acknowledging that emotions are still raw over the mass killing Friday of 20 first-graders and six educators in Connecticut, Hickenlooper said the mental health overhaul — which will require legislative approval — has been in the works since two days after the Aurora theater shootings last July.
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“The common element of so many of these mass homicides seems to be a level of mental illness” of the shooters, Hickenlooper said. “What happened in Newtown is beyond comprehension. After Aurora, I thought we’d never see something that would cause such deep despair.”
While there may be some disagreement about how gun control can help prevent mass killings, Hickenlooper said there’s clear agreement that better access to mental health will help keep patients, families and communities safer.
“Mental health seems like the one point that’s not controversial,” Hickenlooper said. “It connects to almost all of these terrible tragedies.”
Among the changes, the overhaul would:
- Create a new, more potent civil commitment law.
- Authorize Colorado’s courts to transfer mental health commitment records directly to the Colorado Bureau of Investigation in real-time so the information is available for firearm purchase background checks conducted through Colorado’s InstaCheck system. Currently the court system transfers data via CD just twice a year.
- Establish a new $10.3 million crisis response system including a statewide mental health crisis hotline and five new 24/7 walk-in crisis stabilization centers for urgent mental health care.
- Provide mental health care to jailed inmates in the Denver area through a 20-bed, $2 million center.
- Support people leaving mental health institutions through a $4.8 million program to establish better community care. (To view full details of all the proposed changes, click here.)
Flanking the governor as he made his announcement at the Capitol on Tuesday were mental health advocates and leaders from state agencies ranging from public health to corrections and human services.
They included former Colorado First Lady Jeannie Ritter, who has been fighting for better programs for the mentally ill for several years. While Hickenlooper’s overhaul only begins to restore dollars lost from mental health care during the recession, Ritter said the improvements offer a promising start.
“This is an issue whose time has come. It has percolated to the top,” Ritter said, noting that the horrors of both the Aurora and Newtown tragedies have focused unprecedented attention on mental health needs. “This is a start. People are sitting up and listening.”
Ritter said she’s pleased that Hickenlooper’s plan focuses on prevention.
“It’s readiness. It’s resources. We don’t want to continue on a path that’s totally crisis-driven.”
Ritter said insurance companies will need to do a much better job of reimbursing people for mental health care and hospitals will have to add back beds for mental health care even though those beds aren’t nearly as profitable as beds for cardiac care, for instance.
“I really believe this is the place to house these conversations and to get insurance companies to step up,” Ritter said. “Let’s help craft something. We know earlier interventions pay.”
Hickenlooper also said the pendulum may have swung too far after the movement in the 1970s and 1980s to deinstitutionalize hundreds of thousands of patients previously cared for in mental hospitals. The recent trend across the country to eliminate “psych” beds in hospitals is a problem, Hickenlooper said.
“Hospitals have shed entire wards. This is a trend we’ve seen all over the country and it’s been going on for decades,” Hickenlooper said.
While it’s less expensive and perhaps more humane to help many of the mentally ill in the community instead of in hospital wards, Hickenlooper said “it’s a legitimate question: Has the pendulum swung too far?”
While the governor acknowledged that we will never have a “failsafe system” for preventing mass killings, Colorado can do far better when it comes to mental health care.
“Whether or not you or someone in your family is in crisis…this plan is going to help deliver support services to people sooner and thereby be focused on prevention, reducing the probability of bad things happening to good people,” Hickenlooper said.
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