mental health by Care for Your Mind tagged posts

Break Down the Silos, Work Together for Change

“Alone we can do so little; together we can do so much.”
Helen Keller

The mental health care system is notoriously divided into silos of narrow interests. Not only is mental health seen as distinct from physical health, and distinct from substance use disorders, but there is little collaboration – or even conversation – between and among people living with mental health conditions and their families, mental health care providers, professional associations, advocacy organizations, researchers, community health centers, hospital systems, and so on. This division works against our ability to effectively and collectively advocate for improvements to the mental health care system.

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Medicare Part D Users are Feeling the Squeeze

If concerns about being able to retain access to the correct medications to treat their mood disorders was not enough, individuals utilizing Medicare Part D must also be concerned about whether or not they can even afford to take their prescribed medications.

When Medicare Part D took effect in 2006, it arrived with mixed reviews. Today, according to a survey conducted by Medicare Today, 86% of seniors say they are satisfied with their prescription drug plan. One reason they site for the satisfaction is that the costs are reasonable. Given the way things are trending however, the Center for Medicaid and Medicare Services (CMS) may see satisfaction dip.

Cost related non-adherence to medication protocols is growing. The inability to pay for costly medicines causes patients to stretch out their prescriptions by skipping or taking smaller doses than prescribed. In in a recent Health Affairs study, (Medication Affordability Gains Following Medicare Part D Are Eroding Among Elderly with Multiple Chronic Conditions) seniors experiencing four or more chronic conditions reported a cost-related non-adherence rise from a low of 14.4% in 2009 to 17% in 2011.

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