Behavioral Health Management articles from July 1995

Behavioral Health Management archives from July 1995

Providers caught in a whirlwind.(Editorial)
July 1, 1995... Reformation of the nation's health care system, including behavioral health care, continues to be the focus of debate in Congress and of action in state legislatures, particularly in regard to public health funding. Managed Medicare is currently...

Behavioral disorder prevention: the mighty orphan.
July 1, 1995... A strange milestone was achieved by Congress in April. Less than six years after the last Republican President used his first special address to the nation to call for greatly increased federal efforts against drug abuse, a Congress dominated by...

Trends in behavioral care reimbursement. (interview with Peter Panzarino, Jr.)(Cover Story)(Interview)
July 1, 1995... Capitation is the wave of the future in behavioral health care, simply because it is easier to administer. Case rates had appeal when we were attempting to reduce inappropriate inpatient utilization, but I think we've squeezed out about all the...

The case for case rates. (interview with Kenneth Kessler)(Cover Story)(Interview)
July 1, 1995... Among prospective reimbursement choices, is case rate payment the "good" reimbursement? Obviously, it depends on who is defining "good," but the method does seem to avoid some of the dreaded pitfalls of full-risk capitation; for example,...

Anatomy of a Medicaid behavioral managed care program: Green Spring's AdvoCare of Tennessee, lessons learned by a major MCO. (managed care organization)(Cover Story)
July 1, 1995... Managed Medicaid behavioral health care is an emerging reform effort that leads to dramatic changes in systems of care for people with serious mental illness. Public-private sector collaboration characterizes many managed care reform efforts....

Breaking down reimbursement barriers for partial hospitalization: though it is a managed care favorite, perceptual conflicts are hampering it.(Cover Story)
July 1, 1995... Ask any ten people working in behavioral health care to define partial hospitalization and you are sure to get ten different, often contradictory, descriptions. One person will say that partial hospitalization is a cost-saving strategy, and the...

The Behavioral Health Inc. approach to payment: how one MCO calculates its compensation and providers' reimbursement. (managed care organization)
July 1, 1995... Behavioral Health Inc. (BHI) is a managed behavioral health organization in Baton Rouge, Louisiana, with 1994 revenues from its managed care operations of about $9 million. BHI's managed care division offers three types of programs: *...

Information at a touch-tone: the "Interactive Voice Response System" comes to managed mental health care.
July 1, 1995... In this age of health care reform, there is an increasing demand from payers for accurate and timely patient information, particularly in managed mental health care organizations. Unfortunately, providers find it difficult to meet these demands,...

Workplace "psychological disabilities" and the ADA: the courts are defining a new path to protection against successful claims. (Americans with Disabilities Act)
July 1, 1995... For the last couple of years, those responsible for a company's human resources, risk management or workers' compensation have been attending ADA seminars (on the Americans with Disabilities Act) across the nation. Competent professionals have...

Medicaid reimbursement: the next frontier. (interview with Ann Jacobs)(Cover Story)(Interview)
July 1, 1995... In show business parlance, managed Medicaid is "hot." MCOs and HMOs are scrambling for Medicaid business in virtually all states, and about 25% of all Medicaid is under managed care auspices these days. That market share could grow rapidly, as...