Managed behavioral health care: current realities and future potential
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
San Francisco
Jossey-Bass Publ.
1998
|
| Series: | New directions for mental health services
78 |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | 136 S. graph. Darst. |
| ISBN: | 0787914290 |
Staff View
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| adam_text | Contents
Editor s Notes 1
David Mechanic
Part One: The Context of Mental Health Managed Care
1. The Changing Face of Mental Health Managed Care 7
David Mechanic
Managed behavioral health care is seen as a threat to professionals and
patients but it also provides new opportunities to improve mental health
services.
2. The Managed Care Context: Emerging Practices 15
Marsha Gold
Managed care involves increasingly varied and complex arrangements
among purchasers, plans, and providers.
3. Behavioral Health: A View from the Industry 25
Richard C. Surles, Robert]. Fox
Purchasers play an important role in defining the range and intensity of ser¬
vices that behavioral health companies can provide.
4. Utilization Review and the Treatment of Mental Illness:
Emerging Norms and Variabilities 31
Mark Schlesinger
The increasing importance and pervasiveness of utilization review requires
efforts to support patient advocacy and to monitor shifting of costs.
5. The Economics of Behavioral Health Carve Outs 41
Richard G. Frank, Thomas G. McGuire
Some carve outs eliminate incentives to avoid high risk clients.
Part Two: Special Issues
6. Medicaid Managed Care for Special Need Populations:
Behavioral Health as Tracer Condition 51
Robert E. Hurley, Debra A. Draper
As managed care expands to the most vulnerable Medicaid populations, spe¬
cial attention is required to ensure a balanced system of care.
7. Quality Assurance in Behavioral Health 67
Kathleen N. Lohr, William E. Scklenger,J. William Luckey
Quality can be enhanced by improving assessment tools in mental health
and substance abuse treatment and applying them effectively to managed
care.
8. Consumer and Family Views of Managed Care 77
Laura Lee Hall, Richard Beinecke
Consumers and their families have many serious concerns about present
managed care practices.
9. Behavioral Health Contracting 87
Sara Rosenbaum
Good contracts balance standardization and control with responsiveness to
the unique needs of clients.
Part Three: Case Studies
10. The Effect of the Utah Prepaid Mental Health Plan on
Structure, Process, and Outcomes of Care 99
Nicole Lurie,Jon B. Christiansen, Donald Z. Gray, Willard G. Manningjr.,
Michael K. Popkin
The introduction of managed care in Utah reduced cost without adversely
affecting CMHCs. However, patients with schizophrenia who had the worst
mental health status at baseline appeared to do more poorly over time on
some outcome measures.
11. Managed Mental Health Experience in Colorado 107
Jaclyn W. Hausman, Neal Wallace, Joan R. Bloom
Early experience in Colorado indicates that utilization and cost can be
reduced with little change in outcomes.
12. Managed Mental Health Experience in Massachusetts 115
Barbara Dickey, Edward C. Norton, Sharon Lise T. Normand, Hocine Azeni,
William H. Fisher
Managed care in Massachusetts reduced cost by limiting the price and uti¬
lization of inpatient treatment but did not limit access to treatment.
Part Four: The Future of Behavioral Health
13. The Future of Behavioral Health 125
David Mechanic
A thoughtful regulatory approach is needed to help focus managed care
efforts on professional and consumer performance standards.
INDEX 129
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| isbn | 0787914290 |
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| series | New directions for mental health services |
| series2 | New directions for mental health services |
| spelling | Managed behavioral health care current realities and future potential David Mechanic, ed. San Francisco Jossey-Bass Publ. 1998 136 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier New directions for mental health services 78 Managed Care Programs United States Managed mental health care United States Mental Health Services United States Managed Care (DE-588)4461436-6 gnd rswk-swf Psychiatrische Versorgung (DE-588)4047677-7 gnd rswk-swf USA USA (DE-588)4078704-7 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content USA (DE-588)4078704-7 g Psychiatrische Versorgung (DE-588)4047677-7 s Managed Care (DE-588)4461436-6 s DE-604 Mechanic, David 1936- Sonstige (DE-588)133183009 oth New directions for mental health services 78 (DE-604)BV000007213 78 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008369415&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Managed behavioral health care current realities and future potential New directions for mental health services Managed Care Programs United States Managed mental health care United States Mental Health Services United States Managed Care (DE-588)4461436-6 gnd Psychiatrische Versorgung (DE-588)4047677-7 gnd |
| subject_GND | (DE-588)4461436-6 (DE-588)4047677-7 (DE-588)4078704-7 (DE-588)4143413-4 |
| title | Managed behavioral health care current realities and future potential |
| title_auth | Managed behavioral health care current realities and future potential |
| title_exact_search | Managed behavioral health care current realities and future potential |
| title_full | Managed behavioral health care current realities and future potential David Mechanic, ed. |
| title_fullStr | Managed behavioral health care current realities and future potential David Mechanic, ed. |
| title_full_unstemmed | Managed behavioral health care current realities and future potential David Mechanic, ed. |
| title_short | Managed behavioral health care |
| title_sort | managed behavioral health care current realities and future potential |
| title_sub | current realities and future potential |
| topic | Managed Care Programs United States Managed mental health care United States Mental Health Services United States Managed Care (DE-588)4461436-6 gnd Psychiatrische Versorgung (DE-588)4047677-7 gnd |
| topic_facet | Managed Care Programs United States Managed mental health care United States Mental Health Services United States Managed Care Psychiatrische Versorgung USA Aufsatzsammlung |
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