Primary Care Training and Enhancement: Integrating Behavioral Health and Primary Care Program

NOTICE OF FUNDING OPPORTUNITY (HRSA-19-086) Fiscal Year 2019 Application Due Date: January 28, 2019

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The Health Resources and Services Administration (HRSA) is accepting applications for the fiscal year (FY) 2019 Primary Care Training and Enhancement (PCTE): Integrating Behavioral Health and Primary Care (IBHPC) funding opportunity. The application cycle closes on January 28, 2019.

The purpose of this program is to fund innovative training programs that integrate behavioral health care into primary care, particularly in rural and under-served settings with a special emphasis on the treatment of opioid use disorder.

This program supports HRSA’s priority around combating the opioid crisis, as well as priorities around enhancing access to mental health services, by transforming the health workforce.

Applicants are tasked with enhancing primary care training using the Framework for Levels of Integrated Healthcare, establishing or enhancing training in opioid and other substance use disorders and developing and implementing a systematic approach to improve trainee and provider wellness.

Approximately $4 million will be awarded to fund up to 10 grants. Applicants can apply for up to $250,000 per year for single projects and up to 400,000 for collaborative projects per year.

Behavioral Health Workforce Projections

New HRSA Reports: Behavioral Health Workforce Projections and Estimates of New Entrants

HRSA’s National Center for Health Workforce Analysis recently conducted analyses on the adult and pediatric mental health and substance abuse disorder workforce.

We generated national-level projection estimates for the health workforce for the following behavioral health occupations between 2016 and 2030:

We also generated state-level projections of supply and demand for behavioral health occupations from 2016 to 2030.

We estimated the number of new entrants into the behavioral health workforce between 2016 and 2021.


More information is available on the Behavioral Health Workforce Analysis web page.

Exponent Telegram: In West Virginia, a Clear Map of the Socio-Economics of Sickness

Photo by Gene/FlickrCC

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By Leigh Nestor/Exponent Telegram

CLARKSBURG — With West Virginia’s incredibly high rates of diseases linked to lifestyle, some medical professionals consider socioeconomics as the real cause of the state’s failing health.

According to the U.S. Department of Health and Human Services, West Virginia ranks high in general poor health, cardiovascular disease, cholesterol, stroke, hypertension, obesity, poor nutrition, high sodium intake and high sugar intake.

The counties with high rates of obesity are the same ones with high rates of sleeplessness, Program Director for United Hospital Center Dr. Eric Radcliffe said, noting it as a symptom of a root cause in lifestyle…

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Healthcare Dive: Could Payment Models Factor in Local Social Determinants of Health?

Photo: USDA/Flickr

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By Les Masterson/Healthcare Dive

  • A new JAMA report found payment formulas that ignore “social risk can underpay for vulnerable populations, potentially exacerbating inequality.”
  • The study looked at Massachusetts’ Medicaid program MassHealth’s social determinants of health (SDH) payment model that supports care for vulnerable members and improves payment equity.
  • Massachusetts was the first state in the nation in October 2016 to create a payment model that adds SDH variables to medical diagnoses, age and sex.

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The study looked at MassHealth’s payment model and whether a model that includes SDH can provide more equitable payments for the care of socially vulnerable people.

The payment model removes or significantly reduces underpayments for several subgroups in hopes of allowing clinicians to “better meet the needs of socially vulnerable patients,” according to the study.

The payment model “allocates payments within a fixed budget accounting for socioeconomic and psychosocial as well as medical risk.” As an example, the payment model may pay doctors more for patients living in distressed neighborhoods. That money can be used to support innovations that address “social complexity,” such as helping patients find housing, teaching better nutrition or creating IT infrastructure to link at-risk patients with doctors.

“Such programs could draw more people with complex problems — those who have the most to gain from coordinated care — into managed care,” wrote the study authors…

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