Purchasing Managed Care Services For Alcohol And Other Drug Treatment
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Purchasing Managed Care Services for Alcohol and Other Drug Treatment by Stephen Moss Pdf
Intended to provide guidance to those in State AOD (alcohol & other drug treatment) & Medicaid agencies who will be undertaking essential roles as planners & managers of managed care contracts. The guidelines & recommendations presented in this document were developed by a panel of experts from States that are already well advanced in developing State managed care plans for AOD clients. Contents: managed care overview; access to treatment; comprehensiveness of treatment; financial considerations; & consumer protections. Glossary & bibliography. Organizational readiness checklist.
Contracting for Managed Substance Abuse and Mental Health Services by Stephen Moss Pdf
In recent years, State Medicaid agencies and other public sector entities -- in particular, State, county, and local substance abuse and mental health (SA&MH) authorities -- have increasingly been taking the initiative to purchase SA&MH managed care (MC) services from private sector org's. or specialized nonprofit agencies. This is a practical guide for public purchasers and others involved in the design and develop. of MC initiatives involving SA&MH services. Chapters: designing, procuring, and implementing a MC system; coverage; contracting for network services; the mgmt. info. system; quality mgmt.; financial issues; and consumer protections. Bibliography.
Institute of Medicine,Committee on Quality Assurance and Accreditation Guidelines for Managed Behavioral Health Care
Author : Institute of Medicine,Committee on Quality Assurance and Accreditation Guidelines for Managed Behavioral Health Care Publisher : National Academies Press Page : 394 pages File Size : 50,7 Mb Release : 1997-04-21 Category : Medical ISBN : 9780309175050
Managing Managed Care by Institute of Medicine,Committee on Quality Assurance and Accreditation Guidelines for Managed Behavioral Health Care Pdf
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.
Implementing Change in Substance Abuse Treatment Programs by Lynne MacArthur Pdf
Offers guidance on how to integrate evidence-based practices (EBP) for substance abuse treatment (SAT) into clinical practice. It suggests efficient solutions for implementing change based on proven methods. It explains how to assess an organization¿s capacity to identify priorities, implement changes, evaluate progress, and sustain effective programs over the long run. This publication will be of use for any treatment program or agency implementing change or EBP. Over the past two decades, EBP for SAT have shifted dramatically from 28-day, 12-Step-based programs to individualized treatment that addresses a client¿s multiple needs. Providers now implement increasingly specialized interventions, incl. pharmacotherapy, with fewer resources. Illus.
Paul K. Halverson,Arnold D. Kaluzny,Curtis P. McLaughlin,Glen P. Mays
Author : Paul K. Halverson,Arnold D. Kaluzny,Curtis P. McLaughlin,Glen P. Mays Publisher : Jones & Bartlett Learning Page : 504 pages File Size : 47,9 Mb Release : 1998 Category : Health services accessibility ISBN : 0834208970
Committee on Quality Assurance and Accreditation Guidelines for Managed Behavioral Health Care,Institute of Medicine
Author : Committee on Quality Assurance and Accreditation Guidelines for Managed Behavioral Health Care,Institute of Medicine Publisher : National Academies Press Page : 395 pages File Size : 55,6 Mb Release : 1997-05-05 Category : Medical ISBN : 9780309523684
Managing Managed Care by Committee on Quality Assurance and Accreditation Guidelines for Managed Behavioral Health Care,Institute of Medicine Pdf
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 health--federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.
Comprehensive Case Management for Substance Abuse Treatment by Sandra Clunies Pdf
A Treatment Improvement Protocol on case management, which can be described as a coordinated approach to the delivery of health, substance abuse, mental health, & social services, linking clients with appropriate services to address specific needs & achieve stated goals. Case management lends itself to the treatment of substance abuse, particularly for clients with other disorders & conditions who require multiple services over extended periods of time & who face difficulty in gaining access to those services. This report details the factors that programs should consider as they decide to implement case management or modify their current case management activities.
Author : U.S. Department of Health and Human Services Publisher : Lulu.com Page : 136 pages File Size : 54,9 Mb Release : 2019-11-23 Category : Reference ISBN : 9781794764316
Comprehensive Case Management for Substance Abuse Treatment - TIP 27 by U.S. Department of Health and Human Services Pdf
Case management has been variously classified as a skill group, a core function, service coordination, or a network of "friendly neighbors." Although it defies precise definition, case management generally can be described as a coordinated approach to the delivery of health, substance abuse, mental health, and social services, linking clients with appropriate services to address specific needs and achieve stated goals. The Consensus Panel that developed this TIP believes that case management lends itself to the treatment of substance abuse, particularly for clients with other disorders and conditions who require multiple services over extended periods of time and who face difficulty in gaining access to those services. This document details the factors that programs should consider as they decide to implement case management or modify their current case management activities. This summary is excerpted from the main text, in which references to the research appear.
