Mercer Short Duration Fixed Income Fund Class Y-3 · NASDAQ:MSDYX
Mercer Short Duration Fixed Income Fund Class Y-3 — Mercer — Investor Presentation (April 2022)
46 slides from Mercer Short Duration Fixed Income Fund Class Y-3's investor presentation, Apr 7, 2022
Slide 1: NASHP and Mercer: State Strategies to Support Telehealth Infrastructure
NASHP and Mercer: State Strategies to Support Telehealth Infrastructure April 7, 2022 nashp.org
Slide 2: Logistics
Logistics • Your lines will be muted during the webinar. • To ask a question or make a comment, please use the Q&A function. • Please complete the evaluation in the pop-up box after the webinar to help us continue to improve your experience. • Thank you! nashp.org 2
Slide 3: Welcome & Introductions
Welcome & Introductions Jodi Manz, MSW Project Director; Behavioral Health, Aging, and Disability NASHP nashp.org 3
Slide 4: Speaker Introductions
Speaker Introductions Kathy Nichols, LCSW, CPH Kathy is a Senior Government Behavioral Health Consultant in Mercer's Government Human Services Consulting practice. Kathy has experience with both Medicaid and Substance Abuse and Mental Health Administration (SAMHSA) block grant funding, and has worke
Slide 5: Speaker Introductions
Speaker Introductions Sara Goldsby, Director, South Carolina Department of Alcohol and Other Drug Abuse Services A native of Wyoming, Sara Goldsby was confirmed as Director of South Carolina’s Department of Alcohol and Other Drug Abuse Services (DAODAS) by the South Carolina Senate on February 8, 20
Slide 6: Making the Case: Research on the Efficacy of Telebehavioral Health
welcome to brighter Making the Case: Research on the Efficacy of Telebehavioral Health Summary of Findings and Recommendations Pete Liggett, PhD, Licensed Psychologist Kathy Nichols, LCSW, CPH A business of Marsh McLennan
Slide 7: Childhood post-traumatic stress and trauma-focused cognitive-behavioral tele-therapy
Childhood post-traumatic stress and trauma-focused cognitive-behavioral tele-therapy Heightened family stress combined with lockdown conditions and little community contact likely resulted in increases in child maltreatment Provision of trauma treatment via telehealth improves access and availabilit
Slide 8: Childhood post-traumatic stress and trauma-focused cognitive-behavioral tele-therapy
Childhood post-traumatic stress and trauma-focused cognitive-behavioral tele-therapy Pilot Study Results An examination of the feasibility and potential Percentage of treatment effectiveness of trauma-focused cognitive- completers (9 of 10) who behavioral therapy (TF-CBT) delivered via no longer met
Slide 9: Telehealth psychiatric appointment attendance
Telehealth psychiatric appointment attendance Hospital-based IOP services during COVID-19 “Showing up is half the battle”1 Study goal Two groups > those receiving in-person Results treatment and those who attended via telehealth Analyses revealed a statistically Determine whether rates Services were
Slide 10: The impact of co-occurring anxiety and AUDs on VTH among rural veterans
The impact of co-occurring anxiety and AUDs on VTH among rural veterans Individuals with co-occurring anxiety and Aim of the study is to examine telehealth alcohol use disorders (AUDs) tend to utilization among rural veterans with anxiety have poorer treatment outcomes, which disorders, AUD, and co-
Slide 11: Telepsychotherapy and the working alliance
Telepsychotherapy and the working alliance Generalized anxiety disorder 65 participants 50 participants in-person telepsychotherapy therapy Telehealth and the Therapeutic Alliance Of the 115 individuals diagnosed with generalized anxiety disorder, research shows that telepsychotherapy does not inter
Slide 12: An international study on mental health clinicians' use of telehealth
An international study on mental health clinicians’ use of telehealth 25 contributing authors studied 1,206 clinicians from the WHO’s Global Clinical Practice Network Study goal Observational study Findings This large international Clinicians from 100 • 90.5% clinicians reported to have started or i
Slide 13: Telepsychology with veterans: A meta-analysis
Telepsychology with veterans A meta-analysis 27 studies 2,648 including… respondents 25 1,667 with pre-post data in treatment evaluating conditions outcomes Conditions included PTSD and depression 18 981 used RCT study in control More research needed on other conditions design conditions experienced
Slide 14: An effective alternative to in-person care
An effective alternative to in-person care Evidence on telebehavioral health 4½ page issue brief with 55 citations • Is as effective as in-person care for common conditions in adults with depression, anxiety, SUDs, and post-traumatic stress disorder (PTSD) • Telehealth showed significantly greater i
Slide 15: Is videoconferencing just as good?
Is videoconferencing just as good? Meta-analysis of videoconferencing technologies Review of 57 43 14 empirical studies examining examining over the past two intervention assessment decades outcomes reliability “Videoconferencing Technologies (VCT) consistently produced treatment effects that were l
Slide 16: Determining the individual hybrid model
Determining the individual hybrid model
Slide 17: What we know
What we know Telebehavioral health breaks down barriers and offers more privacy than face-to-face mental health care Additional benefits • Connecting patients and providers to a wider network regardless of location, while still monitoring privacy risks • Easier, more convenient access to specialists
Slide 18: Factors in deciding on a hybrid model
Factors in deciding on a hybrid model Understand the Challenges to Determine budget for technology community you serve consider and customer support Increased need for mental health Think about what services for health care providers and Review your budget to understand services your patients front
Slide 19: Factors in deciding on a hybrid model
Factors in deciding on a hybrid model Exploring Other possible Get connected Staff training time telehealth expenses technology Hiring a project • Spend time to ensure your • Your top priority = ensure manager or telehealth staff has the skills to do their patients can get online for coordinator t
Slide 20: Marketplace expectations
Marketplace expectations
Slide 21: Expectations
Expectations Consumer Payer Personalized Measurable Interoperability and On-demand services performance care via data sharing with real-time online decision both consumer and (and receiving) scheduling support tools health system capabilities Easy and convenient Auditable and Ability to accept onlin
Slide 22: Importance of a digital storefront
Importance of a digital storefront Building a provider digital storefront improves Increase in search rankings and visibility consumer online searching for virtual behavioral health For consumers who find your virtual services, consider providing “walk in” ability for immediate telehealth sessions W
Slide 23: Funding Options
Funding Options Coordination with other states Build on work of Eastern States Multi-state Telehealth Resource Center grant program Council to share best practices; modeling Western States Pact. Both regional groups Telehealth Resource Centers (TRCs) assist manage connected health issues as a health
Slide 24: @ Mercer
@ Mercer
Slide 25: Strategies to Support Telehealth Infrastructure for Substance Use Disorder Services
Strategies to Support Telehealth Infrastructure for Substance Use Disorder Services 4/20/22 25
Slide 26: South Carolina Publicly Funded Treatment Locations
South Carolina Department of Alcohol and Other Drug Abuse Services South Carolina Publicly Funded Treatment Locations Opioid Treatment Program (Methadone Treatment) County Alcohol & Drug Abuse Authority Service Locations 4/20/22 26
Slide 27: Telehealth Capacity Before COVID-19
South Carolina Department of Alcohol and Other Drug Abuse Services Telehealth Capacity Before COVID-19 • South Carolina Telehealth Alliance • All County Authority Treatment Sites Had a Telehealth Cart • DAODAS Subsidized Providers’ Broadband Costs with State Funds • No Medicaid Reimbursement for Cli
Slide 28: 4/20/22
4/20/22 28
Slide 29: Tele-Services During COVID-19
South Carolina Department of Alcohol and Other Drug Abuse Services Tele-Services During COVID-19 • Medicaid/Block Grant/SOR Reimbursement for clinical services approved for: Crisis Management, Individual Psychotherapy, Peer Support, Case Management, and other behavioral health services provided via
Slide 30: Positive Results and Challenges
South Carolina Department of Alcohol and Other Drug Abuse Services Positive Results • Patient retention and increased engagement – fewer “no-shows” • Deeper clinical work with a glimpse of home life and engagement of family • Patients reporting high satisfaction and a desire to continue services due
Slide 31: Group Psychotherapy & Group Counseling Training, Privileging, Approval
South Carolina Department of Alcohol and Other Drug Abuse Services Group Psychotherapy & Group Counseling (90853 & H0005) Training, Privileging, Approval • Training on ethics and legal guidelines, clinical delivery • Updated policies/procedures, consent forms specific to telehealth for individual an
Slide 32: The Present and Future
South Carolina Department of Alcohol and Other Drug Abuse Services The Present and Future • Greater need for services for South Carolinians who are and will be hurting • Workforce – private sector and remote jobs are competitive • Licensing boards could approve providers for telehealth service long-
Slide 33: Sara Goldsby contact details
Sara Goldsby sgoldsby@daodas.sc.gov 803-518-4201 1801 Main Street, 12th Floor • Columbia, South Carolina 29201 telephone: 803-896-5555 • fax: 803-896-5557 www.daodas.sc.gov 4/20/22 33
Slide 34: Nevada DHHS: State Strategies to Support Telehealth Infrastructure
Steve Sisolak Richard Whitley Governor Director State of Nevada Department of Health and Human Services State Strategies to Support Telehealth Infrastructure April 7th, 2022 Sarah Dearborn, Nevada Medicaid Behavioral Health Unit Chief Nevada Department of Health and Human Services Division of Health
Slide 35: Nevada's Geography and Health Professional Shortage Areas
Nevada’s Geography and Health Professional Shortage Areas (HPSA; 2022) • Nevada is comprised of 17 counties with two urban counties and 15 rural/frontier counties • At least some of every county in Nevada is a Health Professional Shortage Area • The geographic challenges for access to all types of h
Slide 36: Nevada's Telehealth Policy Prior to the COVID-19 Pandemic
Nevada’s Telehealth Policy Prior to the COVID-19 Pandemic Since 2015, Nevada State law described telehealth as public policy to encourage and facilitate the use of telehealth to improve public health and quality of care while lowering health care costs (NRS 629.515(3)(c)) • Allows for boards to issu
Slide 37: Nevada's Telehealth Policy Prior to the COVID-19 Pandemic
Nevada’s Telehealth Policy Prior to the COVID-19 Pandemic In 2018, Nevada Medicaid established policy for telehealth to align with legislation. Policy provides for: • Payment parity • Prior authorizations must be applied equally to telehealth and in- person services • Use of HIPAA compliant audio-vi
Slide 38: Immediate Actions following the Emergency Declaration for COVID-19
Immediate Actions following the Emergency Declaration for COVID-19 and Substance Use Disorder Treatment • Directive 11-allowed licensed providers in good standing to register with occupational licensing boards in Nevada which enabled broad telehealth access for behavioral health services • Federal g
Slide 39: Behavioral Health Utilization and the Impact of COVID-19
Behavioral Health Utilization and the Impact of COVID-19 39
Slide 40: Senate Bill 5 (81st Legislative Session; 2021)
Senate Bill 5 (81 Legislative Session; 2021) st In 2021, Senate Bill 5 was passed allowing for audio-only telehealth while allowing Nevada Medicaid flexibility in policy and payment. • State Plan Amendment • Medicaid Service Manual Policy Update • Payment Parity 40
Slide 41: Medical Necessity and Telehealth
Medical Necessity and Telehealth Nevada Medicaid 103.1 defines medical necessity as A health care service or product that is provided for under the Medicaid State Plan and is necessary and consistent with generally accepted professional standards to: diagnose, treat or prevent illness or disease; re
Slide 42: Medical Necessity and Clinical Appropriateness
Medical Necessity and Clinical Appropriateness The determination of medical necessity is made on the basis of the individual case and takes into account: a. Type, frequency, extent, and duration of treatment with scientifically based guidelines of national medical or health care coverage organizatio
Slide 43: Key Topics under Consideration for Telehealth and the Treatment of Substance Use Disorders
Key Topics under Consideration for Telehealth and the Treatment of Substance Use Disorders Equity issues and access to broadband and Wi-Fi Digital literacy Informed consent The patient-provider relationship Offering patient choice Lessing the impact of barriers to care (transportation, childcare, le
Slide 44: Questions?
Questions? [SI DWWS 44 “NY
Slide 45: Facilitated Q&A
Facilitated Q&A nashp.org nashp.org
Slide 46: Thank you!
Thank you! Please be sure to complete the post- webinar evaluation. nashp.org nashp.org