Open Source Health with Tripp Johnson

Blue Cross NC's SUD Treatment Policies Destroy Access to Care

Tripp Johnson Season 3 Episode 7

In this episode, Tripp Johnson dives into Blue Cross Blue Shield North Carolina's (BCNC) updated policy regarding partial hospitalization (PHP) and intensive outpatient (IOP) services for substance use treatment. Tripp outlines the unrealistic requirement for psychiatrists to evaluate every patient within two days of admission and weekly thereafter, highlighting the shortage of psychiatrists in North Carolina. He discusses the potential impacts on treatment providers and patients, and the broader implications for behavioral health care access and quality in the state. Tripp shares his insights on the recent coalition efforts to delay the policy's implementation and the ongoing fight to ensure practical, effective healthcare regulations.

Key Points:

  • Policy Overview: BCBSNC's new requirement for psychiatrists in PHP.
  • Impact: Challenges due to the shortage of psychiatrists.
  • Coalition Efforts: Advocacy to delay and revise the policy.
  • Future Steps: Importance of collaboration between providers, payers, and policymakers.

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