A managed care program controls cost for mental health care benefits while ensuring quality of service. It holds providers accountable to the client, employers and trusts who pay for the services. MINES has saved organizations millions of dollars in benefits without compromising quality of care through the following methods:
- Case Management - PDF
- Dialing for Docs - PDF
- Cost Savings - PDF
- Management Information System
- Quality Assurance
- Cost Effectiveness Reports
These programs are also known as managed behavioral health
care, managed care, behavioral healthcare and are provided
to Taft Hartley trusts and self-insured companies.
Utilization Review: Review of cases is
conducted to assure appropriate length of stay, medical necessity
and proper level of care.
Case Management: The EAP/MAP or MMHC group
does all assessment and referral, authorizes all services,
monitors all treatment, provides concurrent review and discharge
planning for the behavioral healthcare program.
Management Information Systems: Benchmark
information such as distribution of utilization, problem
category breakdown, client satisfaction, and relapse rates
by provider allows for cost effective management.
Quality Assurance: Client is followed from
intake, assessment and referral through counseling, resolution
and follow-up to ensure that the benefit dollar is judiciously
spent and quality care is received in the managed mental
healthcare program. Click here to read about MINES unparalleled Dialing for Docs.
Managed Care Cost Effective Reports:
(Based on availability of data
from TPA, a third-party administartor)
- Cost outcome by provider
- Cost outcome by diagnosis
- Relapse statistics by provider
- Average length of stay
- Utilization rate
- Price per unit of service
- Balance between inpatient/outpatient service
Management of treatment is the best overall way to contain
costs.
The Benefits:
A managed mental health care program provides a continuum
of care which:
- Controls cost for mental health care benefits
- Provides the most cost effective treatment while ensuring quality of service
- Holds providers accountable to the client, employers and trusts who pay for the services
Health promotion and utilizing non-medical resources,
when appropriate, are ways to capitalize on the health
care cost containment opportunity.
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