Despite MOUD being the standard of care for opioid use disorder, access remains severely limited in Community Mental Health Centers (CMHCs), which serve the primary population with co-occurring disorders. A Design Lab pilot identified payment limitations and regulatory complexity as the chief barriers to implementation. The most feasible and high-impact strategy identified was establishing a structured learning exchange between CMHC leaders and insurers to improve reimbursement understanding. Policymakers and payers are therefore advised to pilot this learning exchange model to initiate broader payment reform and expand evidence-based care for this vulnerable population.
In Nepal, Gen Z Gets a Victory—and the Country May, Too
English Summary
The landslide victory of the Rastriya Swatantra Party (RSP) in Nepal marks a significant breakthrough for Gen Z-led political movements in Asia, diverging from recent electoral failures of youth-led protests in neighboring countries. Led by 35-year-old Balendra Shah, the party successfully leveraged Nepal’s young demographic—where 56% of the population is under 30—to secure a rare parliamentary majority on a platform of technocratic reform and anti-corruption. This electoral mandate offers a historic opportunity for political stability in a nation that has cycled through 27 prime ministers since 1990, potentially enabling the structural reforms required to address systemic economic stagnation and talent flight.
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1.A Design Lab Pilot to Inform Strategies for Expanding Access to Medications for Opioid Use Disorder in Community Mental Health Centers (RAND)
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4.Positioning Qatar in the Global Research, Development, and Innovation Landscape: Comparative Insights from Small Advanced Economies (RAND)
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