Inpatient Psych Outlook—PPS Reform, Mental Health Parity, Telehealth, EHR Compliance
This year, CMS will be working on reforms to the inpatient psych prospective payment system (IPF PPS). Notably, this is the agency’s first time reforming the IPF PPS since its inception in 2005—so the proposed rule, expected this spring, will be the first indicator of the scope of changes. Looking ahead to the forthcoming FY 2025 proposed rule, Marwood hosted a call with Shawn Coughlin, President and CEO of the National Association for Behavioral Healthcare, to discuss broader industry priorities for the sector.
- Provider priorities for IPF PPS reform and read-through for freestanding facilities
- Congressional priorities (e.g., mental health parity, telehealth, addiction treatment); outlook, timing for potential legislative vehicles
- Interoperability standards and EHR compliance
- Landscape for expanding HIT incentives to the behavioral health sector
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Mr. Coughlin is a leading healthcare advocate and policy expert with more than 30 years of experience working with diverse external stakeholder organizations, including patient and provider groups, regulators, public and private payors, and trade associations. He has extensive experience in Medicare, Medicaid and private insurance policy across many sectors of the healthcare industry. As NABH’s principal lobbyist, Mr. Coughlin oversees the association’s advocacy work on Capitol Hill, and helps set and implement strategic policy goals that support high-quality evidence based behavioral healthcare for Americans who live with mental and substance use disorders. Prior to NABH, he served as an advocacy consultant during his tenure with Capitol Health Group as principal and chief operating officer. Mr. Coughlin began his health policy career working on Capitol Hill, handling various healthcare policy needs for members of the House Ways and Means Committee, including serving as senior health policy advisor for a senior member of the House Ways and Means Subcommittee on Health. He earned a bachelor’s degree from Lafayette College and a master’s degree in public management from the University of Maryland.