Tracking Changes in Behavioral Health Services. How Has Managed Care Changed Care?

Tracking Changes in Behavioral Health Services. How Has Managed Care Changed Care?
Author:
Publisher:
Total Pages: 4
Release: 2000
Genre:
ISBN:

The system for providing treatment for mental health and substance abuse has changed so quickly and dramatically that research about its effects has not been able to keep up. There are few empirical studies about how managed care affects access, quality outcomes, and costs of mental health and substance abuse services. Reliable data essential for sound policy decision making. For example, in the mid-199Os, many were concerned that the costs of parity legislation (mandates requiring employers to cover mental health care at the same level as medical care) would be prohibitive. But RAND studies of managed care plans that had already implemented full parity showed that under comprehensively managed care-today's dominant arrangement-unlimited mental health benefits cost not much more than capped benefits, and substance abuse benefits were also not very costly. Parity legislation addresses nominal benefits, i.e., coverage limits, deductibles, and copayments. However, managed care can affect health care coverage in many other ways. Several new RAND studies investigate how the most common form of managed care for mental health, managed behavioral health organizations (MBHOs), has changed care, and how incentives embedded in contract design or in administrative procedures affect delivery of care in the private sector. MBHOs, which specialize in administering behavioral health benefits that have been carved out of a comprehensive health care plan, were unheard of 15 years ago. Now, MBHOs cover the majority of privately insured individuals and an increasing number of Medicaid recipients.

Tracking Changes in Behavioral Health Services

Tracking Changes in Behavioral Health Services
Author: Roland Sturm
Publisher:
Total Pages: 12
Release: 2000
Genre: Managed care plans (Medical care)
ISBN:

This special issue of the Journal of Behavioral Health Services & Research on mental health carve-outs brings together some of the latest research on recent policy and market changes affecting behavioral health services. This introductory article provides background information about carve-outs and the managed behavioral health care industry. This article also reviews prior research in the mental health carve-out field.

Managing Managed Care

Managing Managed Care
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 394
Release: 1997-04-21
Genre: Medical
ISBN: 0309175054

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.

Tracking and Monitoring Managed Behavioral Health Care in the Public Sector

Tracking and Monitoring Managed Behavioral Health Care in the Public Sector
Author: Gail Robinson
Publisher:
Total Pages: 103
Release: 2001-01-01
Genre: Medical
ISBN: 9780756731243

Provides preliminary information about state managed behavioral healthcare programs as part of a system to monitor & track such programs in the public sector. This system was initiated in response to the changing environment for the financing of behavioral health services -- from fee-for-service to managed care arrangements. The system has been set up to monitor the impact of managed care on public mental health & substance abuse service providers, the people they treat & their linkages to the general healthcare sector by tracking both promising & problematic managed behavioral healthcare developments.

Managed Care Tracking System

Managed Care Tracking System
Author: Gail K. Robinson
Publisher:
Total Pages: 292
Release: 1998
Genre: Medical
ISBN:

The information in this report was collected from Jan. through July 1998. It includes descriptions of public sector managed behavioral health care programs in the 50 States & the District of Columbia. The tracking system collects information & analysis on the impact of managed care on Medicaid behavioral health services & public health & substance abuse systems. Managed care has a strong presence in public sector mental health & substance abuse program design. Medicaid is the primary vehicle by which States create & fund managed behavioral health programs.

The Nation's Health

The Nation's Health
Author: Leiyu Shi
Publisher: Jones & Bartlett Learning
Total Pages: 866
Release: 2011
Genre: Business & Economics
ISBN: 0763784575

The Nation's Health, Eighth Edition provides students with a comprehensive examination of the health of the U.S. population and the complex factors that contribute to it. --

Internal Revenue Bulletin

Internal Revenue Bulletin
Author: United States. Internal Revenue Service
Publisher:
Total Pages: 56
Release: 2010
Genre: Tax administration and procedure
ISBN:

Handbook of Mental Health Administration and Management

Handbook of Mental Health Administration and Management
Author: William H. Reid
Publisher: Routledge
Total Pages: 572
Release: 2013-08-21
Genre: Psychology
ISBN: 1134940947

Clinicians who understand mental health care administration in addition to their clinical fields are likely to be valuable to the organizations in which they work. This handbook is an accessible source of information for professionals coming from either clinical or management backgrounds. Sections offer coverage in: mental health administrative principles, mental health care management, business, finance and funding of care, information technology, human resources and legal issues.

Behavioral Consultation and Primary Care

Behavioral Consultation and Primary Care
Author: Patricia J. Robinson
Publisher: Springer
Total Pages: 354
Release: 2015-10-20
Genre: Psychology
ISBN: 3319139541

“In this 2nd edition, Robinson and Reiter give us an updated blueprint for full integration of behavioral health and primary care in practice. They review the compelling rationale, but their real contribution is telling us exactly HOW to think about it and how to do it. This latest book is a must for anyone interested in population health and the nuts and bolts of full integration through using the Primary Care Behavioral Health Consultation model.” Susan H McDaniel Ph.D., 2016 President, American Psychological Association Professor, University of Rochester Medical Center The best-selling guide to integrating behavioral health services into primary care is now updated, expanded and better than ever! Integration is exploding in growth, and it is moving inexorably toward the model outlined here. To keep pace, this revised text is a must for primary care clinicians and administrators. It is also essential reading for graduate classes in a variety of disciplines, including social work, psychology, and medicine. This updated edition includes: · A refined presentation of the Primary Care Behavioral Health (PCBH) model · The latest terms, trends and innovations in primary care · Comprehensive strategies and resource lists for hiring and training new Behavioral Health Consultants (BHC) · Step-by-step guidance for implementing the PCBH model · A plethora of evolved practice tools, including new Core Competency Tools for BHCs and primary care providers · Sample interventions for behaviorally influenced problems · The use of “Third Wave” behavior therapies in primary care · Detailed program evaluation instructions and tools · The latest on financing integrated care · An entire chapter on understanding and addressing the prescription drug abuse epidemic · Experienced guidance on ethical issues in the PCBH model · Improved patient education handouts With all of the changes in health care, the potential for the Primary Care Behavioral Health (PCBH) model to improve primary care—and the health of the population—is greater than ever. This book should be the first read for anyone interested in realizing the potential of integration.