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Clinical “consistency” is a key quality issue. Defined as “treating similar conditions in a similar manner,” organizations with clinical consistency reduce variability, are more likely to improve consumer health, produce the best effect at the lowest cost and reduce health care disparities.

But in the behavioral health space, ‘consistency’ appears to be the exception rather than the rule. Evidence-based treatments like medications, psychosocial therapies, or integrated services are provided by no more than 25% of outpatient services treating substance use disorders (SUDs) or co-occurring mental health disorders (see A Systematic Review Of Evidence-based Practice Implementation In Drug . . .

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Health Care System

The United States health care system encompasses a mixture of private and public entities that are either non-profit or for-profit. Health care coverage may be financed through federal and state government programs or can be purchased through the health insurance marketplace. In contrast, a smaller proportion of the U.S. population is uninsured. The resulting effects of a decentralized system has led to considerable challenges for provider organizations—including cost pressures, a push towards alternative payment models, and market consolidation. Despite these challenges, there are opportunities for provider organizations in reducing excess costs and utilization, particularly as payers look for innovative approaches that can demonstrate a return-on-investment in terms of cost and consumer outcomes.

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Maryland Expands Advanced Primary Care To Medicare & Medicaid Members
On January 21, 2026, the Maryland Department of Health announced that the state expanded its advanced primary care delivery system to cover approximately 1.2 million residents enrolled in Medicare and Medicaid. The expansion, which took effect January 1, aims to improve preventive care and reduce unnecessary hospital visits by focusing on coordinated care and addressing social determinants of health. The state now operates three advanced primary care programs designed to give care teams more time… Read

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