For over a decade, the health and human service field has been focused on getting primary care and behavioral health services in sync. The Substance Abuse and Mental Health Services Administration has spent significantly on grants for integration and for certified community behavioral health centers. Medicare launched a new reimbursement model supporting coordinated care (see Medicare Bundled Payments For Care Improvement Advanced Model Year 3: General Frequently Asked Questions–Update June 2019). But the adoption of integrated primary care/behavioral health models has been slow for many reasons. There are reimbursement issues, cultural issues in care delivery, and interoperability challenges . . .

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