Download or read book Managed Care Will Influence the Future of Community Mental Health Systems written by Lawrence F. Gabbert and published by . This book was released on 1996 with total page 98 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Managed Behavioral Health Care Current Realities and Future Potential written by David Mechanic and published by Jossey-Bass. This book was released on 1998-07-14 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt: Discussions of managed care are dominated by emotion and rhetoric and failure to differentiate among the varying structures, approaches, and strategies that are called managed care. These discussions rarely take account of the complexity of the arena or the failures of mental health systems prior to the introduction of managed care. If we are to shape managed care constructively, we first need clear understanding of how it is structured, how it functions, and when it performs well and poorly. This should help identify how practices can best be monitored, evaluated, and, if necessary, regulated. This book will help readers along this path. This is the 78th issue of the quarterly journal New Directions for Mental Health Services. For more information on the series, please see the Journals and Periodicals section.
Download or read book Psycho Economics written by Robert D. Weitz and published by Routledge. This book was released on 2014-06-03 with total page 169 pages. Available in PDF, EPUB and Kindle. Book excerpt: Develop new ways to provide ethical, effective mental health services in a world of managed care! Psycho-Economics gives psychologists and mental health care administrators suggestions for handling the changes that have come with the advent of managed care. Using empirical research and practitioner accounts, this informative book assesses the impact of managed care, suggests ways to ameliorate its negative effects, and proposes ideas for the improvement of the managed care system and mental health care in general. Psycho-Economics takes a clear look at the ways in which the managed care system has altered the practice of mental health care. While acknowledging its positive effects on accountability and provision of a broader variety of care options, the chapter authors also note its powerful negative effects, including cutbacks in length of treatment, potential abuses of confidential medical records, and over-prescribing of mood-altering drugs. Yet the book also offers hope for psychologists, social workers, and other counselors. By developing diversified areas for professional practice, collaborating with primary care physicians, and creating corporate education opportunities, psychologists can contribute their expertise to people who might otherwise have never sought them out. Moreover, mental health professionals can embrace new opportunities in treating substance abuse, behavioral health, and such specialized areas as forensic psychology, domestic violence, crisis counseling, and employee screening. These areas and other new developments offer you a chance to build a solid practice devoted to serving society's needs. Psycho-Economics: brings practitioners effective, innovative approaches to clinical practice in relation to managed mental health care fosters awareness of the means by which managed care affects the quality of care that clients receive points out the steps that can be taken to minimize the negative effects that managed care dictates on the quantity and quality of mental health care highlights ethical and legal considerations that should be of concern to providers of mental health services encourages discussion of the future of the managed care system and its impact on providers and clients Psycho-Economics is a survival guide which will help contemporary practitioners like you maintain ethical and effective practices while coping with the administrative expectations of managed care systems.
Download or read book Managing Managed Care written by Institute of Medicine and published by National Academies Press. This book was released on 1997-04-21 with total page 394 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book The Future of Community Mental Health Under a Managed Care System written by Lisa Romback and published by . This book was released on 1995 with total page 150 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Clinician s Guide to Managed Behavioral Care written by William Winston and published by Routledge. This book was released on 2014-02-04 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed care is a revolution impacting the practice of clinicians throughout America. The Clinician’s Guide to Managed Behavioral Care, called “a survival kit” and “must reading,” helps clinicians develop and market professional services attuned to the needs of managed care systems, manage the utilization process, and reshape an office practice or hospital-based program to become more “managed care friendly.” It is newly referenced and updated for clinicians to continue to advocate for their patients and clients. The Clinician’s Guide to Managed Behavioral Care addresses how clinicians can develop and market professional services attuned to the needs of managed care systems, how to best manage the utilization review process, how to re-shape an office practice or hospital-based program to become more “managed care friendly,” and how to best advocate for patients and clients. Readers will understand the history and evolution of attempts to manage mental health care costs and services as well as the emerging clinical, economic, and social trends that will continue to fuel changes in the mental health field in coming years. Importantly, this guide sensitizes readers to the perspectives about mental health care benefits and the treatment field held by the payor community--insurance carriers, HMO’s, and self-insured employers. It allows readers to consider a payor’s view of how professionals can play a crucial role in providing quality services while helping control spiraling mental health care costs--costs that have escalated much faster than other segments of health care. Who can benefit from this book? Practicing psychologists, social workers, psychiatrists, substance abuse counselors, marriage and family therapists, Employee Assistance Professionals, psychiatric nurses, professional counselors, program managers, hospital administrators, and health care marketing professionals will find The Clinician’s Guide to Managed Behavioral Care and invaluable resource. It is often said that in the future, all in the treatment community will be involved in “managing care” and that the most successful clinicians and practices will be those most adept at working with managed care systems on behalf of their patients and clients. This book helps you understand how! Important topics in The Clinician’s Guide to Managed Behavioral Care: the changing marketplace for mental health/substance abuse treatment services assessing market opportunities in light of managed care influences clinical service needs of managed care systems clinical innovations: examples, case studies, vignettes strategies for managing utilization review marketing strategies for office-based practitioners hospital-managed care partnerships contemporary office management strategies to control costs consumers and managed care directory of America’s HMOs directory of America’s Managed Mental Health Care Companies glossary of key terms
Download or read book Mental Health Providers Guide To Managed Care written by Leonard Reich and published by W. W. Norton & Company. This book was released on 2006 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt: For both patients and providers, the words managed care are loaded with negative connotations, synonymous with inefficiency and bureaucracy. Forced to perform a delicate balancing act of offering the best possible care for their clients while carefully adhering to various managed care policies and procedures, providers in particular often wince at the prospect of having to deal with managed care companies, or MCOs. Fearing burdensome paperwork, low reimbursement rates, and denials of care, it's not surprising that a number of mental health professionals choose to limit their involvement with managed care companies-or eliminate it altogether. "My clients are all on different health plans; how can I keep the policies straight?" "Getting services approved is so time-consuming that I'm better off accepting only self-paying clients, aren't I?" "Do the benefits of working with MCOs really outweigh the drawbacks?" The answer, according to two industry insiders, is yes. If you know how to work with the system, the system can work for you. Mental Health Provider's Guide to Managed Care is the first handbook of its kind to offer clinicians a window into the inner-workings of MCOs. Authors Reich and Kolbasovsky candidly draw on their combined 37 years experience in the field to walk readers through all the major elements of how to successfully work within the system: marketing yourself and your practice to an MCO, getting onto a MCO's network, maintaining a good relationship and communicating with MCOs for quick service approval, reducing your liability, understanding your rights and responsibilities, getting paid, and more. Every issue—big and small—is covered, from capitation versus fee-for-service payment arrangements to evaluating which MCOs are a good fit to join, and everything in between. After explaining how to work with the system, the authors reveal how to put the system to work for you. Tips for building your practice through referrals, generating business through doctor collaboration, and understanding future practice opportunities are all covered.By demystifying the complexities of managed care and offering a unique, inside view of the process, this book mitigates the negative connotations associated with MCOs and exposes the hidden benefits of a seemingly burdensome process. Exceedingly reader-friendly and packed with insightful tips and vignettes, Mental Health Provider's Guide to Managed Care is one clinician's guide you won't want to be without.
Download or read book The Clinician s Guide to Managed Behavioral Care written by Norman Winegar and published by Psychology Press. This book was released on 1996 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed care is a revolution impacting the practice of clinicians throughout America. The Clinician's Guide to Managed Behavioral Care, called "a survival kit" and "must reading," helps clinicians develop and market professional services attuned to the needs of managed care systems, manage the utilization process, and reshape an office practice or hospital-based program to become more "managed care friendly." It is newly referenced and updated for clinicians to continue to advocate for their patients and clients.The Clinician's Guide to Managed Behavioral Care addresses how clinicians can develop and market professional services attuned to the needs of managed care systems, how to best manage the utilization review process, how to re-shape an office practice or hospital-based program to become more "managed care friendly," and how to best advocate for patients and clients. Readers will understand the history and evolution of attempts to manage mental health care costs and services as well as the emerging clinical, economic, and social trends that will continue to fuel changes in the mental health field in coming years. Importantly, this guide sensitizes readers to the perspectives about mental health care benefits and the treatment field held by the payor community--insurance carriers, HMO's, and self-insured employers. It allows readers to consider a payor's view of how professionals can play a crucial role in providing quality services while helping control spiraling mental health care costs--costs that have escalated much faster than other segments of health care.Who can benefit from this book? Practicing psychologists, social workers, psychiatrists, substance abuse counselors, marriage and family therapists, Employee Assistance Professionals, psychiatric nurses, professional counselors, program managers, hospital administrators, and health care marketing professionals will find The Clinician's Guide to Managed Behavioral Care and invaluable resource.It is often said that in the future, all in the treatment community will be involved in "managing care" and that the most successful clinicians and practices will be those most adept at working with managed care systems on behalf of their patients and clients. This book helps you understand how!Important topics in The Clinician's Guide to Managed Behavioral Care: the changing marketplace for mental health/substance abuse treatment services assessing market opportunities in light of managed care influences clinical service needs of managed care systems clinical innovations: examples, case studies, vignettes strategies for managing utilization review marketing strategies for office-based practitioners hospital-managed care partnerships contemporary office management strategies to control costs consumers and managed care directory of America's HMOs directory of America's Managed Mental Health Care Companies glossary of key terms
Download or read book Psycho Economics written by Robert D. Weitz and published by Routledge. This book was released on 2000 with total page 165 pages. Available in PDF, EPUB and Kindle. Book excerpt: Develop new ways to provide ethical, effective mental health services in a world of managed care! Psycho-Economics gives psychologists and mental health care administrators suggestions for handling the changes that have come with the advent of managed care. Using empirical research and practitioner accounts, this informative book assesses the impact of managed care, suggests ways to ameliorate its negative effects, and proposes ideas for the improvement of the managed care system and mental health care in general. Psycho-Economics takes a clear look at the ways in which the managed care system has altered the practice of mental health care. While acknowledging its positive effects on accountability and provision of a broader variety of care options, the chapter authors also note its powerful negative effects, including cutbacks in length of treatment, potential abuses of confidential medical records, and over-prescribing of mood-altering drugs. Yet the book also offers hope for psychologists, social workers, and other counselors. By developing diversified areas for professional practice, collaborating with primary care physicians, and creating corporate education opportunities, psychologists can contribute their expertise to people who might otherwise have never sought them out. Moreover, mental health professionals can embrace new opportunities in treating substance abuse, behavioral health, and such specialized areas as forensic psychology, domestic violence, crisis counseling, and employee screening. These areas and other new developments offer you a chance to build a solid practice devoted to serving society's needs. Psycho-Economics: brings practitioners effective, innovative approaches to clinical practice in relation to managed mental health care fosters awareness of the means by which managed care affects the quality of care that clients receive points out the steps that can be taken to minimize the negative effects that managed care dictates on the quantity and quality of mental health care highlights ethical and legal considerations that should be of concern to providers of mental health services encourages discussion of the future of the managed care system and its impact on providers and clients Psycho-Economics is a survival guide which will help contemporary practitioners like you maintain ethical and effective practices while coping with the administrative expectations of managed care systems.
Download or read book Controversies in Managed Mental Health Care written by Arthur Lazarus and published by American Psychiatric Publishing. This book was released on 1996 with total page 458 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a "second generation" book on managed mental health care that probes areas of uncertainty and tension in the managed care world. Each chapter is framed as a question and addresses a controversial area in managed mental health care. A spirited discussion ensues, capturing conflict inherent in the managed care movement. By reading this book, mental health professionals will have a greater understanding of the strengths and weaknesses of managed care and a more realistic interpretation of managed care systems of the future.
Download or read book Managed Mental Health Care in the Public Sector written by Kenneth Minkoff and published by Psychology Press. This book was released on 1997 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Mental Health and Social Policy written by David Mechanic and published by . This book was released on 1999 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: Just a few years ago there was much optimism that the American health care system would be reformed and that we would have a system of universal insurance entitlement with few people uninsured. The realization that full mental health benefits would only be financially acceptable within a managed care framework suggests the importance of managed care as an instrument for achieving broader coverage at an acceptable cost. Yet, it remains to be seen to what extent the marketplace will direct the future development of managed care and what role professional agencies, government, and consumer organizations will have in making managed care organizations accountable to the public. This book takes a multidisciplinary approach to mental health and social policy. It covers mental health issues such as definitions of mental disorders, the epidemiology of mental illness, case management, community treatment, mental health research, and questions of policy. It also includes the definitions of disability and the links to federal programs and housing and employment services that will be of special interest to social workers. Mental health care providers, social workers, and therapists.
Download or read book Primary Care written by Institute of Medicine and published by National Academies Press. This book was released on 1996-09-05 with total page 411 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.
Download or read book The Future of the Public s Health in the 21st Century written by Institute of Medicine and published by National Academies Press. This book was released on 2003-02-01 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Download or read book The Future of Nursing 2020 2030 written by National Academies of Sciences Engineering and Medicine and published by . This book was released on 2021-09-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.
Download or read book Allies and Adversaries written by Robert K. Schreter and published by . This book was released on 1994 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book addresses the impact of managed care on clinical practice. In each chapter a specific area of practice is discussed by two industry leaders - a clinician and a managed care executive. Also presented is a critique of managed care from the perspective of patients and families.
