IN THIS ISSUE

Charlotte Huff
Demand for mental health services outstrips the supply of psychiatrists. Aggravating the situation: Many psychiatrists don’t take insurance. Nurse practitioners and physician assistants are beginning to fill the gap.
Q&A
Interview by Peter Wehrwein
Insurers are playing ‘small ball’ and not showing leadership, says the former congressman. And some ‘spin-dry’ inpatient providers are doing more harm than good in combating the opioid epidemic. Meanwhile, Kennedy, who chronicled his own harrowing mental health and addiction struggles in a 2015 memoir, says he has been sober for more than six years.
Jan Greene
Palliative care would fill a need and could save health care dollars in the process. But providers often need to patch together CPT codes to get paid for it.
Original Paper
Holly Miller, MD
Lucy Johns, MPH
Legislation & Regulation
Richard Mark Kirkner
Nonquantitative treatment limitations may be why care for mental health and substance abuse disorders isn’t keeping up with coverage gains.
Medication Management
Thomas Reinke
Some say gene editing platforms like CRISPR are a truer version of gene therapy because they are designed to home in on a particular genomic location.
Viewpoint
Nicolle Rychlick
Because physicians and health plan members both value choice, the current weak market for Inflectra and Renflexis could be a passing phase.
Book Review
Peter Boland
Tomorrow’s Medicine
Thomas Morrow, MD
Ingrezza and Austedo were approved last year. ICER calculations raise questions about their price.
News & Commentary