Managing Managed Care

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Author :
Publisher : National Academies Press
ISBN 13 : 0309175054
Total Pages : 394 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Managing Managed Care by : Institute of Medicine

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.

Controversies in Managed Mental Health Care

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Author :
Publisher : American Psychiatric Publishing
ISBN 13 :
Total Pages : 458 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Controversies in Managed Mental Health Care by : Arthur Lazarus

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.

Managed Mental Health Care

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Author :
Publisher :
ISBN 13 :
Total Pages : 24 pages
Book Rating : 4.3/5 (121 download)

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Book Synopsis Managed Mental Health Care by :

Download or read book Managed Mental Health Care written by and published by . This book was released on 1996 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Managed Mental Health Care in the Public Sector

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Author :
Publisher : Psychology Press
ISBN 13 : 9789057025372
Total Pages : 360 pages
Book Rating : 4.0/5 (253 download)

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Book Synopsis Managed Mental Health Care in the Public Sector by : Kenneth Minkoff

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.

Managing Managed Care

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Author :
Publisher : National Academies Press
ISBN 13 : 0309523680
Total Pages : 395 pages
Book Rating : 4.3/5 (95 download)

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Book Synopsis Managing Managed Care by : Committee on Quality Assurance and Accreditation Guidelines for Managed Behavioral Health Care

Download or read book Managing Managed Care written by Committee on Quality Assurance and Accreditation Guidelines for Managed Behavioral Health Care and published by National Academies Press. This book was released on 1997-05-05 with total page 395 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 health--federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.

Managed Behavioral Health Care: Current Realities and Future Potential

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Author :
Publisher : Jossey-Bass
ISBN 13 :
Total Pages : 148 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Managed Behavioral Health Care: Current Realities and Future Potential by : David Mechanic

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.

Group Psychotherapy And Managed Mental Health Care

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Author :
Publisher : Routledge
ISBN 13 : 1135063362
Total Pages : 226 pages
Book Rating : 4.1/5 (35 download)

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Book Synopsis Group Psychotherapy And Managed Mental Health Care by : Henry I. Spitz

Download or read book Group Psychotherapy And Managed Mental Health Care written by Henry I. Spitz and published by Routledge. This book was released on 2013-10-28 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: First published in 1996. These volumes address the major developments and changes resulting from the introduction of managed care. Books in this series enable mental health professional to provide effective therapy to their patients while conducting the maintaining of a successful practice. This volume provides clinical and administrative essential knowledge, a road-map with step-by-step instructions to group therapists on how to plan, begin, conduct and complete group therapies under managed care.

Primary Care

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Author :
Publisher : National Academies Press
ISBN 13 : 0309175690
Total Pages : 411 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Primary Care by : Institute of Medicine

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.

The Clinician's Guide to Managed Behavioral Care

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Author :
Publisher : Routledge
ISBN 13 : 1317786289
Total Pages : 356 pages
Book Rating : 4.3/5 (177 download)

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Book Synopsis The Clinician's Guide to Managed Behavioral Care by : William Winston

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

Maneuvering the Maze of Managed Care

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Author :
Publisher : Simon and Schuster
ISBN 13 : 0684823098
Total Pages : 358 pages
Book Rating : 4.6/5 (848 download)

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Book Synopsis Maneuvering the Maze of Managed Care by : Kevin J. Corcoran

Download or read book Maneuvering the Maze of Managed Care written by Kevin J. Corcoran and published by Simon and Schuster. This book was released on 1996 with total page 358 pages. Available in PDF, EPUB and Kindle. Book excerpt: Looks at the issues facing mental health professionals in regards to managed care health networks.

Psycho-Economics

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Author :
Publisher : Routledge
ISBN 13 : 9780789007803
Total Pages : 165 pages
Book Rating : 4.0/5 (78 download)

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Book Synopsis Psycho-Economics by : Robert D. Weitz

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.

A Psychologist's Proactive Guide to Managed Mental Health Care

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Author :
Publisher : Routledge
ISBN 13 : 1135679797
Total Pages : 171 pages
Book Rating : 4.1/5 (356 download)

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Book Synopsis A Psychologist's Proactive Guide to Managed Mental Health Care by : Alan J. Kent

Download or read book A Psychologist's Proactive Guide to Managed Mental Health Care written by Alan J. Kent and published by Routledge. This book was released on 1999-12 with total page 171 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Psychologist's Proactive Guide to Managed Mental Health Care offers a concise overview of the evolution of managed mental health care and its impact on the working lives of clinical and counseling psychologists. Although many books explore the ramifications of managed care for psychotherapy, this is the first to take a broad perspective and examine the ways in which the new health care delivery system is affecting all aspects of practice--not just treatment but also assessment and training--as well as mental health research. The authors include some of the country's most noted psychologists with extensive experience in managed care. Their tone is optimistic rather than pessimistic; as they look at developments others have only deplored, they see potential roles and opportunities for growth for psychologists. In an era of dramatic health change, all those practitioners who are concerned about how to make managed care work for them rather than against them, will find this Guide essential reading. ALTERNATE BLURB A Psychologist's Proactive Guide to Managed Mental Health Care offers a concise overview of the evolution of managed mental health care and its impact on the working lives of clinical and counseling psychologists. While many books explore the ramifications of managed care for psychotherapy, this is the first to take a broad perspective and examine the ways in which the new health care delivery system is affecting all aspects of practice--not just treatment but also assessment and training--and mental health research as well.

The Clinician's Guide to Managed Behavioral Care

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Author :
Publisher : Psychology Press
ISBN 13 : 9780789060129
Total Pages : 356 pages
Book Rating : 4.0/5 (61 download)

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Book Synopsis The Clinician's Guide to Managed Behavioral Care by : Norman Winegar

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

Psycho-Economics

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Author :
Publisher : Routledge
ISBN 13 : 131782637X
Total Pages : 174 pages
Book Rating : 4.3/5 (178 download)

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Book Synopsis Psycho-Economics by : Robert D. Weitz

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 174 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.

The Clinician's Guide to Managed Mental Health Care

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Author :
Publisher : Routledge
ISBN 13 :
Total Pages : 368 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Clinician's Guide to Managed Mental Health Care by : Norman Winegar

Download or read book The Clinician's Guide to Managed Mental Health Care written by Norman Winegar and published by Routledge. This book was released on 1992 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides an overview of how managed mental health-care systems work, how managed care is reshaping the private mental health/substance abuse treatment delivery system, its implications for clinicians everywhere, and how clinicians may work with, not against, managed care.

Improving the Quality of Health Care for Mental and Substance-Use Conditions

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Author :
Publisher : National Academies Press
ISBN 13 : 0309133661
Total Pages : 528 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Improving the Quality of Health Care for Mental and Substance-Use Conditions by : Institute of Medicine

Download or read book Improving the Quality of Health Care for Mental and Substance-Use Conditions written by Institute of Medicine and published by National Academies Press. This book was released on 2006-03-29 with total page 528 pages. Available in PDF, EPUB and Kindle. Book excerpt: Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.

Managing Managed Care II

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Author :
Publisher : American Psychiatric Pub
ISBN 13 : 9780880487726
Total Pages : 262 pages
Book Rating : 4.4/5 (877 download)

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Book Synopsis Managing Managed Care II by : Michael Goodman

Download or read book Managing Managed Care II written by Michael Goodman and published by American Psychiatric Pub. This book was released on 1996 with total page 262 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managing Managed Care II: A Handbook for Mental Health Professionals, Second Edition, provides an easy-to-learn, easy-to-use method for documenting and communicating the necessity, appropriateness, and course of treatment for managed care review. Using the Patient Impairment Profile method, practitioners can convincingly convey a clinical rationale for treatment, efficiently track progress over time, and demonstrate favorable patient outcomes. Keeping pace with the evolving and expanding presence of managed care, the authors have extensively revised and enlarged the previous edition. New clinical research on the validity and reliability of the impairment terminology has produced a much-improved, clinically valid, and statistically reliable impairment lexicon. Detailed severity rating qualifiers, reference lists of patient objectives, and a useful glossary have been added. All regulations have also been updated. Managing Managed Care II is reference and valuable resource for mental health practitioners and for the individuals who monitor and review treatment. By providing concise, relevant, and outcome-focused treatment information, practitioners become proactive participants in managed care while adeptly articulating the value and quality of their services.