| Description |
xiii, 192 pages ; 24 cm |
| Series |
The HFMA healthcare financial management series |
|
HFMA healthcare financial management series.
|
| Contents |
Foreword / Bruce Roberts -- Ch. 1. What Is Behavioral Managed Care, Where Did It Come from, and Why Do We Need It? -- Ch. 2. Provider Selection and Consumer Choice -- Ch. 3. Inside the Behavioral MCO -- Ch. 4. Characteristics of Case Management -- Ch. 5. Case Management of Mental Health and Chemical Dependency: MCO Case Manager and Primary Provider Interactions -- Ch. 6. Case Management of Mental Health and Chemical Dependency: Clarification and Behavioral Definition in MCO Case Manager and Primary Provider Interactions -- Ch. 7. Practical Concerns: Claims Issues and the MCO Case Manager -- Ch. 8. The Most Frequently Asked Questions about Behavioral Managed Care -- Ch. 9. Long Range Survival in Behavioral Managed Care: Working the System |
| Summary |
Behavioral Managed Care reveals and explains how managed care affects the operations of a behavioral health program from an insider's viewpoint. It exposes the real interaction that occurs among consumers, employers, providers, managed care organizations and other third-party payers. This book also contains common clinical scenarios which follow the delivery of care from intake to either treatment completion or treatment continuation, highlighting MCO-provider interactions and defining examples of MCO language. Behavioral Managed Care provides practical information on claims issues and answers relevant questions commonly asked by providers and consumers. This book will help improve the working relationships between all parties involved with behavioral healthcare |
| Notes |
Includes index |
| Bibliography |
Includes bibliographical references (pages 177-178) and index |
| Subject |
Managed mental health care -- United States.
|
| LC no. |
96051529 |
| ISBN |
0786310928 |
|
