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.
Keeping pace with the evolving and expanding presence of managed care, the authors have extensively revised and enlarged the previous edition.
This book will keep you ahead of managed care trends and ensure that your practice remains fiscally solid while providing the highest quality care possible to patients.
The Handbook enables readers to fine-tune operation strategies by providing updates on critical managed care issues, insights to the complex managed care environment, and methods to gain and maintain cost-efficient, high quality health ...
Nursing
With a primary focus on the commercial sector, the book also addresses managed health care in Medicare, Medicaid, and military medical care.
Managed Care
Useful as a stand-alone instructional text for all mental health care practitioners (e.g., psychiatrists, clinical psychologists, clinical social workers, marriage and family therapists, and psychiatric nurses, especially those ...
Essentials of Managed Health Care
20); or, in Robinson's words (2001, p. 2627): “The retreat from managed care promotes access but also removes the brakes on health care cost infiation.” Thus, it is no wonder that the premiums and co-payments of the insured have once ...
Written in clear and accessible language, this text offers an historical overview of managed care before walking the reader through the organizational structures, concepts, and practices of the health insurance and managed care industry.