Author: Colorado. Department of Health Care Policy and FinancingPublisher:
ISBN:
Category : Managed mental health care
Languages : en
Pages : 4
Book Description
Capitation Rates for Mental Health Program
Author: Colorado. Department of Health Care Policy and FinancingPublisher:
ISBN:
Category : Managed mental health care
Languages : en
Pages : 4
Book Description
Managed Care Technical Assistance Series
Author: Publisher:
ISBN:
Category : Managed care plans (Medical care)
Languages : en
Pages : 74
Book Description
Designing Substance Abuse and Mental Health Capitation Projects
Author: Cindy BrachPublisher:
ISBN:
Category : Capitation fees (Medical care)
Languages : en
Pages : 70
Book Description
Medicaid Managed Care
Author: United States. General Accounting OfficePublisher:
ISBN:
Category : Managed care plans (Medical care)
Languages : en
Pages : 56
Book Description
Managing Managed Care
Author: Institute of MedicinePublisher: National Academies Press
ISBN: 0309175054
Category : Medical
Languages : en
Pages : 394
Book Description
Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations. Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues. The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened. Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral healthâ€"federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.
Managed Mental Health Care in the Public Sector
Author: Kenneth MinkoffPublisher: Psychology Press
ISBN: 9789057025372
Category : Medical
Languages : en
Pages : 360
Book Description
The rapid spread of managed care into public and community mental health systems is creating a dramatic transformation of traditional public sector settings. This radical change is affecting administrators, managers, and clinicians.Intended as a survival manual, this book begins with an overview of the history, concepts, ideology, and ethics of public sector managed care and then proceeds in focus from system to program management to clinical program levels. With a concluding section on advocacy, evaluation, research, and training issues, Managed Mental Health Care in the Public Sector examines how public sector managed mental health care can be approached with a positive spirit, an excitement about the potential to create dramatic and beneficial system changes, and a genuine interest in investigating the relative merits of every aspect of managed care systems.
Estimating and Managing Risks for the Utilization and Cost of Mental Health and Substance Abuse Services in a Managed Care Environment
Author: Anthony BroskowskiPublisher:
ISBN:
Category : Managed care plans (Medical care)
Languages : en
Pages : 120
Book Description
Development of Appropriate Capitation Rates for Managed Chronic Mental Health Care
Author: Barbara A. MillerPublisher:
ISBN:
Category : Health maintenance organizations
Languages : en
Pages : 98
Book Description
Medicaid Eligibility Quality Control
Author: United States. Social and Rehabilitation ServicePublisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 460
Book Description
The Psychiatrist's Guide to Capitation and Risk-based Contracting
Author: American Psychiatric Association. Office of Economic Affairs and Practice ManagementPublisher: American Psychiatric Publishing
ISBN: 9780890424537
Category : Capitation fees (Medical care).
Languages : en
Pages : 0
Book Description
In today's competitive economic environment, many psychiatrists are entering capitation agreements with managed care organizations. In exchange for a flat fee for each member of a benefit plan, the psychiatrist must provide all services needed by group members regardless of the amount of service required or its cost. The Psychiatrist's Guide to Capitation and Risk-Based Contracting provides the tools that will allow clinicians to navigate this complex process and develop a successful capitated program. It includes an overview of the primary financial, administrative, and clinical issues involved in such a contract. This guide contains helpful advice on how to calculate an equitable capitation rate, evaluate and negotiate a contract, minimize the financial risks involved, and resolve numerous other issues crucial to a successful capitation contract. An interactice mental health capitation demonstration disk especially designed and developed to educate psychiatrists about the interrelationships between mental health utilization, mental health service cost, and managed care capitation rates accompanies this book. By using this guide, clinicians will be able to manage this competitive environment in the best interests of their patients and their practice.