The Impact of COVID-19 on Financing of Psychiatric Services - 24/02/22

Doi : 10.1016/j.psc.2021.11.014

Laurence H. Miller, MD ^a,^⁎ , Joseph Parks, MD ^b, Rebecca Yowell, BS ^c, Kenan Penaskovic, MD ^d, Robin Reed, MD, MPH ^e, Jacob Kannarkat, MD ^f
^a Division of Medical Services, Arkansas Department of Human Services, Department of Psychiatry, University of Arkansas for Medical Sciences, 700 Main Street Suite 415, Little Rock, AR 72201, USA
^b Practice Improvement & Consulting, National Council for Mental Wellbeing, 1400 K Street Northwest, Suite 400, Washington, DC 20005, USA
^c Reimbursement Policy and Quality, American Psychiatric Association, 800 Maine Avenue Southwest, Suite 900, Washington, DC 20024, USA
^d University of North Carolina, 101 Manning Drive CB#7160, Chapel Hill, NC 27514, USA
^e University of Arkansas for Medical Sciences, 27 Corporate Hill Drive Little Rock, AR 72207, USA
^f Department of Psychiatry, Yale School of Medicine, 300 George Street New Haven, CT 06511, USA

^∗Corresponding author.

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Résumé

The onset of the COVID-19 pandemic in early 2020 had a significant impact on the delivery of behavioral health services, with significant short-term and long-range consequences. Intertwined with the delivery of services has been the financial ramifications of the pandemic. The rapid response by governmental agencies to shore up financial support for clinical services, and the swift shift to virtual care provided relief for a broad array of practice settings; however, it did not mitigate the full impact of the pandemic. Effective state, national, and international leadership, communication, and coordination are critical to improve the global response to any pandemic.

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Keywords : COVID, Financing, Waiver, Telehealth, Psychiatric services, Lessons learned